Grace Mobile Care

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

GRACE MOBILE CARE

Practice address

855 S Pear Orchard Rd Ste 305
Ridgeland, MS 39157-5114

Phone

(769) 300-0084

Fax

(601) 707-5486

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Shuntell Thompson

Title

Owner

Phone

(601) 913-0332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1982356069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S PEAR ORCHARD RD STE 305",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575114",
            "telephone_number": "769-300-0084",
            "fax_number": "601-707-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S PEAR ORCHARD RD STE 305",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575114",
            "telephone_number": "769-300-0084",
            "fax_number": "601-707-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MOBILE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHUNTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-913-0332"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wesley Dee Granger, M.D.
• Latasha Grant

• Home Health Aide in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.