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Providence Pcc of Grenada, LLC

Assisted Living Facility in Grenada, MS · enumerated 2010 · authorized official Debbie Mitchell, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477869881

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Pcc of Grenada, LLC
Practice address 1855 Hill Dr, Grenada, MS, 38901
Fax (662) 229-0556
Enumeration date Aug 23, 2010
Last updated in NPPES Aug 23, 2010

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 777 (MS) Primary

Authorized official

Name Debbie Mitchell
Title Executive Director

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-23. Verify at npiregistry.cms.hhs.gov.
Where is Providence Pcc of Grenada, LLC located?
The practice location on file with NPPES is in Grenada, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-23.