Organization · Type 2 NPI

Carissa Grace Group Home Inc.

In Home Supportive Care Agency · Greenville, MS

NPI number 1336012798 Active

Practice location

334 Fairview Ave
Greenville, MS 38701-4882

Specialties and licenses

Taxonomy	Code	License
In Home Supportive Care Agency Primary	253Z00000X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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NPI record

NPI: 1336012798
Entity type: Organization (Type 2)
Issued: Sep 24, 2025
Last updated: Sep 24, 2025
Status: Active

Other names

Carissa Care Adult Day Care · doing business as
Carissa Grace Disability Support · doing business as
Carissa Grace Home Care Services · doing business as
Carissa Grace Mental Health Services · doing business as
Carissa Grace Respite Care · doing business as
Carissa Grace Senior Care Services · doing business as

Authorized official

Stephanie Lavern Hendrix
Owner
(662) 822-3102

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336012798

Carissa Grace Group Home Inc.'s National Provider Identifier is 1336012798, issued on Sep 24, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Greenville, MS. The record was last updated on Sep 24, 2025.