National Provider Identifier Database

GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE LLC
Homemaker

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.


Contact Information

GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
410 MASONIC DRIVE
CLINTON, MS39056
Phone: 601-488-4027
Fax: 601-488-4128
Website:
Specialty Taxonomy Code
* Homemaker 376J00000X

* Indicates primary specialty

NPI Profile & details for GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC

NPI Number 1790835635
Legal business name
LBN
GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
Authorized official SYLVIAETTE HARRIS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/11/2007
Last updated 12/18/2018 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 07680072
  • MS Medicaid: 08778761

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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