Healthcare Provider Details

I. General information

NPI: 1598683435
Provider Name (Legal Business Name): SOUTHERN GRACE HOME HEALTH & HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 GAINES ST
EIGHT MILE AL
36613-8350
US

IV. Provider business mailing address

6510 GAINES ST
EIGHT MILE AL
36613-8350
US

V. Phone/Fax

Practice location:
  • Phone: 251-753-4827
  • Fax: 251-753-4827
Mailing address:
  • Phone: 251-753-4827
  • Fax: 251-753-4827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW LEAHMAN ARMSTRONG
Title or Position: OWNER
Credential:
Phone: 251-753-4827