ST, GRACE HOSPICE, INC. is a nursing facility intermediate care facility in Montclair, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. ST, GRACE HOSPICE, INC. NPI is 1164964383. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Grace Manor 2.
The provider's business location address is:
4440 FAUNA ST
MONTCLAIR, CA
ZIP 91763-523
Phone: (951) 545-4462
The provider's authorized official is Kathleen Janet Haywood .
The authorized official title is Administrator and has the following contact phone number (951) 545-4462.
The CLIA number assigned to this NPI record is 05D2200588 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/7/2016 and was last updated on 11/7/2016.