Healthcare Provider Details

I. General information

NPI: 1548738842
Provider Name (Legal Business Name): GRACIA HOSPICE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 W 46TH AVE UNIT 6
DENVER CO
80211-2338
US

IV. Provider business mailing address

1441 W 46TH AVE UNIT 6
DENVER CO
80211-2338
US

V. Phone/Fax

Practice location:
  • Phone: 720-531-3172
  • Fax: 720-242-9110
Mailing address:
  • Phone: 720-531-3172
  • Fax: 720-242-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SERGIO HERNANDEZ
Title or Position: PRESIDENT
Credential:
Phone: 720-531-3172