Grace & Mercy Personal Care Provider LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACE & MERCY PERSONAL CARE PROVIDER LLC

Practice address

63 Gwenn Ray Dr
Eupora, MS 39744-3403

Phone

(662) 258-1018

NPI assigned

Oct 28, 2022

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Olean Denise PittmanNPI 1104533348

Title

President/Owner

Phone

(662) 262-3194

Specialties & licenses 2

Addresses

Locations

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.

• Olean Denise Pittman

  • Homemaker
  • Mathiston, MS
  • NPI 1104533348

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1760199806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24224 MS HIGHWAY 15",
            "city": "MATHISTON",
            "state": "MS",
            "postal_code": "397526876",
            "telephone_number": "662-263-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GWENN RAY DR",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397443403",
            "telephone_number": "662-258-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & MERCY PERSONAL CARE PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "OLEAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "662-262-3194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encore Rehabilitation Inc (Encore Rehab of Eupora)
• Eye Clinic of Eupora, Inc
• Jodilyn Allred Ferguson
• Chasity N Foxx, MS
• John Gardner
• Daniel Dean Hall, DMD
• James Haynes, HYPNOTHERAPIST
• Hometown Physical Therapy LLC
• David Hopkins
• Brian Hubbard, PHARM.D.

• Home Health Agency in Eupora, MS
• Providers in Eupora, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.