Grace and Mercy Home Health LC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACE AND MERCY HOME HEALTH LC

Practice address

2370 Green Rd
Lake City, SC 29560-5483

Phone

(843) 394-0058

Fax

(888) 910-0680

NPI assigned

Sep 24, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Trace Gamble, BSFM

Title

Executive Administrator

Phone

(843) 758-4860

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1699382549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 GREEN RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605483",
            "telephone_number": "843-758-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 GREEN RD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605483",
            "telephone_number": "843-394-0058",
            "fax_number": "888-910-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY HOME HEALTH LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "843-758-4860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSFM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "graceandmercy@mdofficemail.com",
            "affiliation": "N",
            "endpointDescription": "secured email account",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2370 Green Rd",
            "city": "Lake City",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295605483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lafelle S Gist
• Clara Glasscho, RN,C
• Tiffany Renee Godbolt, P.T.A.
• Ashton Cagle Godwin, NP
• Goldstar Academy of Health and Sciences
• Graham Clinic Inc.
• Andrea Graham
• Darlene G Graham, RN
• Omega Denise Graham, PMHNP
• Toney Graham Jr., M.D.

• Home Health Agency in Lake City, SC
• Providers in Lake City, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.