Provider Demographics
NPI:1538436654
Name:GRACE & MERCY ELDERLY CARE, INC
Entity type:Organization
Organization Name:GRACE & MERCY ELDERLY CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-649-0844
Mailing Address - Street 1:5732 WOODBOURNE COURT
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-6114
Mailing Address - Country:US
Mailing Address - Phone:901-649-0844
Mailing Address - Fax:901-363-8869
Practice Address - Street 1:2506 MOUNT MORIAH RD STE B459
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-1511
Practice Address - Country:US
Practice Address - Phone:901-649-0844
Practice Address - Fax:662-932-8300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health