Provider Demographics
NPI:1790464428
Name:SAVING GRACE HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:SAVING GRACE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-265-2124
Mailing Address - Street 1:12506 RIVERGLEN DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8214
Mailing Address - Country:US
Mailing Address - Phone:727-265-2124
Mailing Address - Fax:877-807-0008
Practice Address - Street 1:1301 SEMINOLE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8102
Practice Address - Country:US
Practice Address - Phone:727-265-2124
Practice Address - Fax:877-807-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care