Organization Active NPI

Saving Grace Care LLC

  • Non-emergency Medical Transport (VAN)
  • West Covina, CA
National Provider Identifier
1326564279
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
8G22203 Issued in CA
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

Updated by the provider on Aug 22, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
194700115OtherDEPARTMENT OF SOCIAL SERVICES-HOMECARE ORGANIZATION LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.