NPIMap

Organization Active NPI

Living Grace LLC

  • In Home Supportive Care Agency
  • Ocean Springs, MS
National Provider Identifier
1740943620
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING GRACE LLC
Practice address
6016 Switzer CV
Ocean Springs, MS 39564-2729
Phone
(228) 369-5929
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Jamie WynnNPI 1891362208
Title
Owner
Phone
(228) 369-5929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

6016 Switzer CV
Ocean Springs, MS 39564-2729

Mailing address

6016 Switzer CV
Ocean Springs, MS 39564-2729
Phone (228) 369-5929

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Smartcare Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1740943620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 SWITZER CV",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642729",
            "telephone_number": "228-369-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 SWITZER CV",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642729",
            "telephone_number": "228-369-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-369-5929"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smartcare",
            "affiliation": "N",
            "endpointDescription": "In-home care secured online platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17094 Rail Way",
            "city": "Lathrop",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953308642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.