SOUTHERN GRACE HOME CARE
NPI 1174333884
Home Health in Hattiesburg, MS

Active since January 14, 2025
12 AMUR LN, HATTIESBURG, MS 39402(601) 447-1106 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southern Grace Home Care NPPES

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

SOUTHERN GRACE HOME CARE (NPI 1174333884) is a healthcare organization registered as a home health in Hattiesburg, Mississippi and active in the NPI registry since January 2025. The organization lists Jomeka Lott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174333884
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSOUTHERN GRACE HOME CARE
Location Address12 AMUR LNHattiesburg, MS 39402-5510
Mailing Address12 Amur LnHattiesburg, MS 39402-5510 · (601) 447-1106
Organization SubpartNo
Authorized OfficialJomeka LottCeo · (601) 447-1106
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1174333884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite CareTaxonomy 385H00000X
12 AMUR LN, Hattiesburg, MS 39402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174333884, enumerated as an "organization" on January 14, 2025.

The provider is located at 12 AMUR LN HATTIESBURG, MS 39402 and the phone number is (601) 447-1106.

Home Health with taxonomy code 251E00000X.