Grace Residential Services , LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GRACE RESIDENTIAL SERVICES , LLC

Practice address

4615 Riva Ridge Dr
Olive Branch, MS 38654-2029

Phone

(901) 219-1053

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Hillary Burnette

Title

Owner

Phone

(901) 219-1053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1710801709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 RIVA RIDGE DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542029",
            "telephone_number": "901-219-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 RIVA RIDGE DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542029",
            "telephone_number": "901-219-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RESIDENTIAL SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-219-1053"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.