Organization Active NPI

Savior'S Grace Home Care, LLC

  • Home Health Agency
  • Livonia, MI
National Provider Identifier
1619058500
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAVIOR'S GRACE HOME CARE, LLC
Practice address
28910 Plymouth Rd
Livonia, MI 48150-2337
Phone
(734) 425-0541
Fax
(734) 425-0544
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Michael G Corby
Title
Controller
Phone
(989) 652-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

28910 Plymouth Rd
Livonia, MI 48150-2337

Mailing address

9710 Junction Rd Ste a
Attn: Lynn Maurer
Frankenmuth, MI 48734-9502
Phone (989) 652-4663

Other identifiers 2

IdentifierTypeStateIssuer
OE177OtherMIBCBS PROVIDER #
4410947MedicaidMI

National Provider Directory

National Provider Directory

Locations

9710 Junction Rd
Ste A
Frankenmuth, MI 48734
Phone (989) 652-4663

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1619058500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 JUNCTION RD STE A",
            "address_2": "ATTN: LYNN MAURER",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487349502",
            "telephone_number": "989-652-4663",
            "fax_number": "989-652-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28910 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502337",
            "telephone_number": "734-425-0541",
            "fax_number": "734-425-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVIOR'S GRACE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CORBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "989-652-3470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "OE177",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4410947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.