Organization Active NPI

Lords Saving Grace Health Services LLC

  • In Home Supportive Care Agency
  • Pooler, GA
National Provider Identifier
1154055523
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LORDS SAVING GRACE HEALTH SERVICES LLC
Practice address
320 Serengeti Blvd
Pooler, GA 31322-4967
Phone
(912) 665-2239
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Lashanta Shanene Roberson, RNNPI 1770945610
Title
Administrator
Phone
(912) 665-0686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

320 Serengeti Blvd
Pooler, GA 31322-4967

Mailing address

320 Serengeti Blvd
Pooler, GA 31322-4967
Phone (912) 665-2239

Other practice location 1

2916 Cletus Pkwy
Lima, OH 45805-2909
Phone (912) 665-2239

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1154055523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SERENGETI BLVD",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224967",
            "telephone_number": "912-665-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SERENGETI BLVD",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224967",
            "telephone_number": "912-665-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 Cletus Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052909",
            "country_code": "US",
            "telephone_number": "912-665-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LORDS SAVING GRACE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "LASHANTA",
        "authorized_official_middle_name": "SHANENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-665-0686",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.