Organization Active NPI

Saving Grace Private Home Care, LLC

  • In Home Supportive Care Agency
  • Hoschton, GA
National Provider Identifier
1104439447
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAVING GRACE PRIVATE HOME CARE, LLC
Practice address
634 Amaranth TRL
Hoschton, GA 30548-2067
Phone
(770) 294-8021
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua Valdez
Title
Owner/Administraor
Phone
(770) 294-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

634 Amaranth TRL
Hoschton, GA 30548-2067

Mailing address

634 Amaranth TRL
Hoschton, GA 30548-2067
Phone (770) 294-8021

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL savinggracega.com

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1104439447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 AMARANTH TRL",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305482067",
            "telephone_number": "770-294-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 AMARANTH TRL",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305482067",
            "telephone_number": "770-294-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACE PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRAOR",
        "authorized_official_telephone_number": "770-294-8021"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "savinggracega.com",
            "affiliation": "N",
            "address_1": "634 Amaranth Trl",
            "city": "Hoschton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305482067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoschton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.