Organization Active NPI

Graceful Hands Personal Care Corp

  • Respite Care
  • Jackson, MS
National Provider Identifier
1881105609
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GRACEFUL HANDS PERSONAL CARE CORP
Practice address
3070 Terry Rd
Jackson, MS 39212-3058
Phone
(601) 500-7747
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Mrs. Valtina Marie Coleman
Title
Owner/ Operator
Phone
(601) 398-6368

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X 253Z00000X MS
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

3070 Terry Rd
Jackson, MS 39212-3058

Mailing address

1153 Cottrell Rd
Terry, MS 39170-9637
Phone (601) 398-6368

National Provider Directory

National Provider Directory

Locations

3070 Terry Rd
Jackson, MS 39212
Phone (601) 500-7747

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1881105609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 COTTRELL RD",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391709637",
            "telephone_number": "601-398-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123058",
            "telephone_number": "601-500-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDS PERSONAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "VALTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "601-398-6368",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "253Z00000X",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.