Healthcare Provider Details

I. General information

NPI: 1013829043
Provider Name (Legal Business Name): CHOSEN BY GRACE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 BEAUVOIR RD STE 100-1116
BILOXI MS
39531-4051
US

IV. Provider business mailing address

296 BEAUVOIR RD STE 100-1116
BILOXI MS
39531-4051
US

V. Phone/Fax

Practice location:
  • Phone: 601-490-1447
  • Fax:
Mailing address:
  • Phone: 601-490-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HEATHER N JEFFERSON
Title or Position: OWNER
Credential:
Phone: 601-490-1447