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NPI Code Detail

MEDICARE: GRACE HOSPICE CARE, INC.

MEDICARE: GRACE HOSPICE 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1558907055
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE HOSPICE CARE, INC.
Provider Business Mailing Address
First Line : 1739 TERMINO AVE STE A
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2121
Country : US
Telephone Number : 562-494-3273
Fax Number : 562-494-4597
Provider Business Practice Location Address
First Line : 1739 TERMINO AVE STE A
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2121
Country : US
Telephone Number : 562-494-3273
Fax Number : 562-494-4597
Authorized Official
Title or Position : PRESIDENT/ ADMINISTRATOR/ OWNER
Name : MR. ANGELO CADIENTE
Credential : RN
Telephone Number : 562-494-3273
Provider Enumeration Date : 11/20/2019
Last Update Date : 05/25/2022

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Directions to “GRACE HOSPICE CARE, INC. ” Practice Location

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