Heart of Grace Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEART OF GRACE HOME CARE LLC

Practice address

813 Highway 35 S
Forest, MS 39074-4031

Phone

(601) 564-1309

Fax

(601) 287-8230

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 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

Timothy G Wooten Jr.

Title

Administrator

Phone

(601) 564-1309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1831876671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744031",
            "telephone_number": "601-564-1309",
            "fax_number": "601-287-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744031",
            "telephone_number": "601-564-1309",
            "fax_number": "601-287-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GRACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-564-1309",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Sullivan Hardin, NP
• Bernard Gayle Harrell, D.O.
• Lindsay Leann Harrison, PHD
• Douglas F Harvel, Jr, DMD
• Kacey Havard, NP
• Heart of Grace Senior Transportation
• Herbison Dental LLC (Herbison and Reynolds Dental Clinic)
• Weber Herbison, DMD
• Jena Herrington
• Derrick A. High II

• In Home Supportive Care Agency in Forest, MS
• Providers in Forest, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.