Provider Demographics
NPI:1669260774
Name:SAVING GRACE COMPANION SOLUTIONS
Entity type:Organization
Organization Name:SAVING GRACE COMPANION SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:352-973-2400
Mailing Address - Street 1:1915 SELLEEN DR
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-3274
Mailing Address - Country:US
Mailing Address - Phone:352-973-2400
Mailing Address - Fax:
Practice Address - Street 1:1915 SELLEEN DR
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-3274
Practice Address - Country:US
Practice Address - Phone:352-973-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care