Active NPI
Saving Grace Companion Solutions LLC
- In Home Supportive Care Agency
- Eustis, FL
National Provider Identifier
1669260774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SAVING GRACE COMPANION SOLUTIONS LLC
- Practice address
- 1915 Selleen Dr
Eustis, FL 32726-3274 - Phone
- (352) 973-2400
- NPI assigned
- Apr 28, 2025
- 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
- Kimberly Collins, CNA
- Title
- Owner
- Phone
- (352) 973-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1915 Selleen Dr
Eustis, FL 32726-3274
Mailing address
1915 Selleen Dr
Eustis, FL 32726-3274
Phone (352) 973-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128542600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1669260774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 SELLEEN DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263274",
"telephone_number": "352-973-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 SELLEEN DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263274",
"telephone_number": "352-973-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVING GRACE COMPANION SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-28",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-973-2400",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128542600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.