GRACE HEALTHCARE MEDICAL SUPPLY, INC (NPI# 1215318035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215318035 |
| Entity Type | Organization |
| Organization Name | GRACE HEALTHCARE MEDICAL SUPPLY, INC |
| Practice Address |
1120 Broad Avenue Gulfport MS 39501-2414 |
| Mailing Address |
934 Town Square Shopping Center Suite 932 Columbia MS 39429-8013 |
| Practice Telephone | 2288633331 |
| Practice Fax Number | 2288633392 |
| Mailing Telephone | 2288633331 |
| Mailing Fax Number | 2288633392 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | MR. DAVID JOHN WOLF (PRESIDENT) |
| Authorized Official Telephone | 2288633331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Street Address |
1120 BROAD AVENUE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386934719 | Medical Logic Inc | Durable Medical Equipment & Medical Supplies | 9506 Creosote Rd, Gulfport, MS 39503-4201 | 2011-04-19 |
| 1174618763 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 4202 11th St, Gulfport, MS 39501-2501 | 2006-10-03 |
| 1285727719 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 10551 Outdoor Way, Suite H, Building 2, Gulfport, MS 39503-4698 | 2006-10-02 |
| 1003826561 | Hi-tech Healthcare Inc. | Durable Medical Equipment & Medical Supplies | 2318 E Pass Rd, Suite A, Gulfport, MS 39507-3805 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1790324614 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste E, Lucedale, MS 39452-6079 | 2019-12-23 |
| 1487291977 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste F, Lucedale, MS 39452-6079 | 2019-12-04 |
| 1699311654 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 6555 U S Highway 98 Ste 5b, Hattiesburg, MS 39402-7625 | 2019-11-25 |
| 1407402381 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 103 Woodland Rd Ste 3, Batesville, MS 38606-8483 | 2019-08-15 |
| 1396305892 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 920 E Mcdowell Rd, Jackson, MS 39204-5911 | 2019-06-17 |
| 1396219325 | Tri-state Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 6392 Highway 51 N, Pope, MS 38658-2421 | 2019-01-12 |
| 1801256508 | Down Home Medical Supply | Durable Medical Equipment & Medical Supplies | 2691 Highway 15, Bay Springs, MS 39422-7431 | 2016-02-24 |
| 1003214198 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 404 Highway 16 E, Carthage, MS 39051-4208 | 2014-12-05 |
| 1659719557 | Lexington Medical Supply | Durable Medical Equipment & Medical Supplies | 22743 Highway 12, Lexington, MS 39095-3118 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.