Active NPI
Saving Grace Care LLC
- Non-emergency Medical Transport (VAN)
- West Covina, CA
National Provider Identifier
1326564279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 8G22203
- Legal business name
- SAVING GRACE CARE LLC
- Practice address
- 3601 E Holt Ave
West Covina, CA 91791-2358 - Phone
- (626) 475-8657
- Fax
- (626) 628-3900
- NPI assigned
- Aug 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Duenas
- Title
- Owner
- Phone
- (626) 475-8657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 8G22203 | CA | Primary |
Addresses
Primary practice location
3601 E Holt Ave
West Covina, CA 91791-2358
Mailing address
5502 N Larkin Dr
Azusa, CA 91702-5717
Phone (626) 475-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194700115 | Other | DEPARTMENT OF SOCIAL SERVICES-HOMECARE ORGANIZATION LICENSE |
National Provider Directory
National Provider DirectoryLocations
3601 E Holt Ave
West Covina, CA 91791
Phone (626) 475-8657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503360000000",
"number": "1326564279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5502 N LARKIN DR",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025717",
"telephone_number": "626-475-8657",
"fax_number": "626-628-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 E HOLT AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917912358",
"telephone_number": "626-475-8657",
"fax_number": "626-628-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVING GRACE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A",
"authorized_official_last_name": "DUENAS",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-475-8657"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "8G22203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF SOCIAL SERVICES-HOMECARE ORGANIZATION LICENSE",
"identifier": "194700115",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.