Provider Demographics
NPI:1659024313
Name:SAVING GRACE HOMES, LLC
Entity Type:Organization
Organization Name:SAVING GRACE HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-204-0357
Mailing Address - Street 1:313 HOPKINS DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOYCE
Mailing Address - State:VA
Mailing Address - Zip Code:22620
Mailing Address - Country:US
Mailing Address - Phone:301-204-0357
Mailing Address - Fax:
Practice Address - Street 1:313 HOPKINS DRIVE
Practice Address - Street 2:
Practice Address - City:BOYCE
Practice Address - State:VA
Practice Address - Zip Code:22620
Practice Address - Country:US
Practice Address - Phone:301-204-0357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities