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SOUTHERN GRACE SERVICES
NPI 1295193589
Respite Care in Petal, MS

Active since February 02, 2016
117 N MAIN ST STE 200, PETAL, MS 39465(601) 602-5411(601) 602-5410 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Nov 3, 2025, Feb 2, 2016 (3 updates tracked since 2016).

About Southern Grace Services NPPES

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

SOUTHERN GRACE SERVICES (NPI 1295193589), doing business as Southern Grace - Senior Home Care, is a healthcare organization registered as a respite care in Petal, Mississippi and active in the NPI registry since February 2016. The organization lists Gregory Shawn Elkins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295193589
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameSOUTHERN GRACE SERVICES
Location Address117 N MAIN ST STE 200Petal, MS 39465-2366
Mailing Address117 N Main St Ste 200Petal, MS 39465-2366 · (601) 602-5411 · Fax (601) 602-5410
Phone(601) 602-5411
Fax(601) 602-5410
Organization SubpartNo
Authorized OfficialGregory Shawn ElkinsExecutive Director · (601) 602-5411
Enumeration DateFebruary 2, 2016
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1295193589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
117 N MAIN ST STE 200, Petal, MS 39465
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Other Names 1

Doing Business AsSouthern Grace - Senior Home Care

Other Identifiers 1

Medicaid006952057MS

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 Southern Grace Services's NPI number?

The NPI number for Southern Grace Services is 1295193589. It was assigned to this organization in the NPPES registry on February 2, 2016. The provider is doing business as Southern Grace - Senior Home Care.

Where is Southern Grace Services located?

Southern Grace Services is located at 117 N Main St Ste 200, Petal, MS 39465. The listed phone number is (601) 602-5411.

What is Southern Grace Services's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Southern Grace Services was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.