MEDICARE: HOSPICE OF GRACE AND PALLIATIVE CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1043152267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF GRACE AND PALLIATIVE CARE INC

Provider Business Mailing Address
First Line	:	351 E FOOTHILL BLVD STE 250
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-7426
Country	:	US
Telephone Number	:	818-553-6646
Fax Number	:	818-553-6656

Provider Business Practice Location Address
First Line	:	351 E FOOTHILL BLVD STE 250
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-7426
Country	:	US
Telephone Number	:	818-553-6646
Fax Number	:	818-553-6656

Authorized Official
Title or Position	:	CEO
Name	:	CATHERINE KHATOUN KESTENIAN
Credential	:	NP
Telephone Number	:	818-501-2253

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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