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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

GRACE PERSONAL CARE 1 LLC
NPI 1073434205
Adult Companion in Diberville, MS

Active since July 23, 2026
10505 BONEY AVE STE A, DIBERVILLE, MS 39540(716) 603-5850 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Personal Care 1 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE PERSONAL CARE 1 LLC (NPI 1073434205) is a healthcare organization registered as an adult companion in Diberville, Mississippi and active in the NPI registry since July 2026. The organization lists Mary J Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1073434205
Entity TypeOrganization
Primary Taxonomy372600000X
Legal Business NameGRACE PERSONAL CARE 1 LLC
Location Address10505 BONEY AVE STE ADiberville, MS 39540-2407
Mailing Address10505 Boney Ave Ste ADiberville, MS 39540-2407 · (716) 603-5850
Phone(716) 603-5850
Organization SubpartYes
Authorized OfficialMary J SimmonsOwner · (716) 603-5850
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1073434205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

10505 BONEY AVE STE A, Diberville, MS 39540
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY L SIMMONS
In Home Supportive Care
10505 BONEY AVE STE A
DIBERVILLE, MS 39540
Harrison County (716) 603-5850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Personal Care 1 LLC's NPI number?

The NPI number for Grace Personal Care 1 LLC is 1073434205. It was assigned to this organization in the NPPES registry on July 23, 2026.

Where is Grace Personal Care 1 LLC located?

Grace Personal Care 1 LLC is located at 10505 Boney Ave Ste A, Diberville, MS 39540. The listed phone number is (716) 603-5850.

What is Grace Personal Care 1 LLC's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Grace Personal Care 1 LLC was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.