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DIVINE GRACE HOSPICE INC NPI 1033549936


NPI Information

NPI: 1033549936
Provider Name: DIVINE GRACE HOSPICE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2202041

Address:
4766 PARK GRANADA STE 106
CALABASAS, CA
ZIP 91302
Phone: (626) 261-4565
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DIVINE GRACE HOSPICE, INC is a hospice care community based in Calabasas, CA. DIVINE GRACE HOSPICE, INC NPI is 1033549936. The provider is registered as an organization entity type.

The provider's business location address is:

4766 PARK GRANADA STE 106
CALABASAS, CA
ZIP 91302-384
Phone: (626) 261-4565
Fax: (626) 261-4561

The provider's authorized official is Christopher Hendry .
The authorized official title is Administrator Designee and has the following contact phone number (818) 781-8111.

The CLIA number assigned to this NPI record is 05D2202041 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 8/15/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

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