Healthcare Provider Details

I. General information

NPI: 1740165372
Provider Name (Legal Business Name): RAY OF GRACE ASSISTED LIVING FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 CENTRAL DR
MOBILE AL
36605-2101
US

IV. Provider business mailing address

3090 TEAL CT
MOBILE AL
36695-4242
US

V. Phone/Fax

Practice location:
  • Phone: 251-545-1512
  • Fax:
Mailing address:
  • Phone: 251-545-1512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAYRIA RAICHELLE CATLIN
Title or Position: EXECUTIVE DIRECTOR
Credential: DNP
Phone: 251-545-1512