Providence Pcc of Grenada, LLC
NPI 1477869881ActiveOrganization· Assisted Living Facility· Grenada, MS
Assisted Living Facility in Grenada, Mississippi, registered in NPPES in August 2010. The authorized official on file is Debbie P. Mitchell, Executive Director.
Overview
| NPI | 1477869881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2010 |
| Last updated in NPPES | Aug 23, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 777 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|