Active NPI
Savior'S Grace Home Care, LLC
- Home Health Agency
- Livonia, MI
National Provider Identifier
1619058500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OE177 | Other | MI | BCBS PROVIDER # |
| 4410947 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.