Basic Information
| Provider Information | |||||||||
| NPI: | 1295442143 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAVING HANDS OF GRACE NURSING AND HOME CARE SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1905 EDWARDS LAKE RD # 1089 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352353717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057990968 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1905 EDWARDS LAKE RD # 1089 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352353717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057990968 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2022 | ||||||||
| LastUpdateDate: | 10/31/2022 | ||||||||
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| AuthorizedOfficialLastName: | ROBINSON | ||||||||
| AuthorizedOfficialFirstName: | IDA | ||||||||
| AuthorizedOfficialMiddleName: | DENISE | ||||||||
| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER | ||||||||
| AuthorizedOfficialTelephone: | 2057990968 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DNP, FNP-BC | ||||||||
| NPICertificationDate: | 10/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WH0200X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Home Health | 163WI0500X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Infusion Therapy | 163WM0705X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Medical-Surgical | 163WR0400X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Providers | Registered Nurse | Rehabilitation | 253Z00000X | N | Agencies | In Home Supportive Care | 363L00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LA2200X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LP2300X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | 374U00000X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Related Providers | Home Health Aide | 376G00000X | N | 193200000X MULTI-SPECIALTY GROUP | Nursing Service Related Providers | Nursing Home Administrator | 363LF0000X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.