Organization Active NPI

Saving Grace Companion Solutions LLC

  • In Home Supportive Care Agency
  • Eustis, FL
National Provider Identifier
1669260774
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 25, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
128542600MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.