GRACEFUL HANDS PERSONAL CARE CORP (NPI# 1881105609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881105609 |
| Entity Type | Organization |
| Organization Name | GRACEFUL HANDS PERSONAL CARE CORP |
| Practice Address |
3070 Terry Rd Jackson MS 39212-3058 |
| Mailing Address |
1153 Cottrell Rd Terry MS 39170-9637 |
| Practice Telephone | 6015007747 |
| Mailing Telephone | 6013986368 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | MRS. VALTINA MARIE COLEMAN (OWNER/ OPERATOR) |
| Authorized Official Telephone | 6013986368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | 253Z00000X | MS | Agencies |
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
3070 TERRY RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1518522135 | Nj Respite & Riding LLC | Respite Care | 240 Grawtown Rd, Jackson, NJ 08527-5107 | 2019-05-08 |
| 1336695543 | Wbf Choice Healthcare, Inc | Respite Care | 501 Jacksonian Plz, #12641, Jackson, MS 39211 | 2016-08-28 |
| 1427421387 | A Step Ahead Homecare LLC | Respite Care | 5040 N State St Ste 11, Jackson, MS 39206-4056 | 2015-11-01 |
| 1902272834 | Precision Care Service of Ms. | Respite Care | 2310 Highway 80 W Ste C1122, Jackson, MS 39204-2354 | 2015-08-14 |
| 1104201771 | Total Healthcare Network Inc. | Respite Care | 210 Cooper Rd, Jackson, MS 39212-4805 | 2015-07-24 |
| 1134533896 | Kiara Lashae Johnson | Respite Care | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| 1649603697 | Anointed Personal Care and Respite Services | Respite Care | 3800 Yarbro St Apt 305, Jackson, MS 39204-2119 | 2013-08-14 |
| 1124465547 | Christian Sitters | Respite Care | 5538 North State Street Ste 106, Jackson, MS 39206 | 2013-05-24 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.