Active NPI
Graceful Hands Personal Care Corp
- Respite Care
- Jackson, MS
National Provider Identifier
1881105609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.