GRACE MOBILE CARE NPI 1982356069

NPI Information

  • NPI: 1982356069
  • Provider Name: GRACE MOBILE CARE
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • CLIA Number: 25D2249942
  • Address: 855 S PEAR ORCHARD RD STE 305
    RIDGELAND, MS
    ZIP 39157
  • Phone: (769) 300-0084

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NPI Details

GRACE MOBILE CARE is a home health aide in Ridgeland, MS. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. GRACE MOBILE CARE NPI is 1982356069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

855 S PEAR ORCHARD RD STE 305
RIDGELAND, MS
ZIP 39157-114
Phone: (769) 300-0084
Fax: (601) 707-5486

The provider's authorized official is Shuntell Thompson .
The authorized official title is Owner and has the following contact phone number (601) 913-0332.

The CLIA number assigned to this NPI record is 25D2249942 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2022 and was last updated on 7/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health AideYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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