Provider Demographics
NPI:1154146017
Name:SAVING GRACE HOME HEALTH INC
Entity type:Organization
Organization Name:SAVING GRACE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIDAL
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-584-5559
Mailing Address - Street 1:830 NE LOOP 410 STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1207
Mailing Address - Country:US
Mailing Address - Phone:210-757-3308
Mailing Address - Fax:210-964-4490
Practice Address - Street 1:830 NE LOOP 410 STE 207
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1207
Practice Address - Country:US
Practice Address - Phone:210-757-3308
Practice Address - Fax:210-964-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health