MEDICARE: LIVING GRACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740943620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING GRACE LLC

Provider Business Mailing Address
First Line	:	6016 SWITZER CV
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-2729
Country	:	US
Telephone Number	:	228-369-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	6016 SWITZER CV
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-2729
Country	:	US
Telephone Number	:	228-369-5929
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JAMIE WYNN
Credential	:
Telephone Number	:	228-369-5929

Provider Enumeration Date	:	10/18/2021
Last Update Date	:	10/18/2021

Similar Medicare Providers

1619824109 — DR. JOSHUA NATHANIEL PAYNE PHD, LMFT-S
Practice Location Address:

2729 FLOYD SPRINGS RD NE
ARMUCHEE, GA
30105-2630

Practice Phone: 478-973-2505
Practice Fax:

1912151960 — DR. MATTHEW EUGENE MANSFIELD DDS
Practice Location Address:

2729 STATE ROUTE 76 WEST
WILLOW SPRINGS, MO
65793

Practice Phone: 417-469-2030
Practice Fax: 417-469-5085

1295372597 — MRS. DENISE MARIE SALAGE LCSW
Practice Location Address:

231 LAKE AVE
SARATOGA SPRINGS, NY
12866-2729

Practice Phone: 518-650-3159
Practice Fax:

1275411761 — SABRINA TILLMAN
Practice Location Address:

500 LEMON ST
GREEN COVE SPRINGS, FL
32043-2729

Practice Phone: 904-582-2004
Practice Fax:

1366398398 — TAYLOR DARDEN CNP
Practice Location Address:

1278 OCEAN SPRINGS RD
OCEAN SPRINGS, MS
39564-3409

Practice Phone: 228-875-3606
Practice Fax:

1528915063 — TAMI LYNN HUDSON RN
Practice Location Address:

3535 BIENVILLE BLVD STE 210
OCEAN SPRINGS, MS
39564-5705

Practice Phone: 228-818-4210
Practice Fax: 228-818-2551

Directions to “LIVING GRACE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.