Provider Demographics
NPI:1033516497
Name:SAVING GRACE TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:SAVING GRACE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-261-2263
Mailing Address - Street 1:PO BOX 1861
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60412-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 199TH ST
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-9664
Practice Address - Country:US
Practice Address - Phone:708-261-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)