Healthcare Provider Details

I. General information

NPI: 1871340802
Provider Name (Legal Business Name): GRACE SENIOR SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 E ORANGEVIEW LN
ORANGE CA
92867-1824
US

IV. Provider business mailing address

724 S BIRCHLEAF DR
ANAHEIM CA
92804-3241
US

V. Phone/Fax

Practice location:
  • Phone: 877-612-5477
  • Fax:
Mailing address:
  • Phone: 877-612-5477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GHAHYASI-BROWER
Title or Position: CEO
Credential:
Phone: 714-396-4321