HOSPICE OF GRACE INC NPI 1629222526

NPI Information

NPI: 1629222526
Provider Name: HOSPICE OF GRACE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2044136

Address:
815 E COLORADO ST
SUITE 210
GLENDALE, CA
ZIP 91205
Phone: (818) 553-6646
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HOSPICE OF GRACE, INC is a hospice care community based in Glendale, CA. HOSPICE OF GRACE, INC NPI is 1629222526. The provider is registered as an organization entity type.

The provider's business location address is:

815 E COLORADO ST
SUITE 210
GLENDALE, CA
ZIP 91205-200
Phone: (818) 553-6646
Fax: (818) 553-6656

The provider's authorized official is Arpine Kestenian .
The authorized official title is Ceo and has the following contact phone number (818) 553-6646.

The CLIA number assigned to this NPI record is 05D2044136 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 11/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		C3133017	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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