MEDICARE: GRATEFUL HEARTS HOSPICE

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1427669381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRATEFUL HEARTS HOSPICE

Provider Business Mailing Address
First Line	:	9778 KATELLA AVE STE 106
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-6446
Country	:	US
Telephone Number	:	714-533-5154
Fax Number	:	714-380-5351

Provider Business Practice Location Address
First Line	:	9778 KATELLA AVE STE 106
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-6446
Country	:	US
Telephone Number	:	714-533-5154
Fax Number	:	714-380-5351

Authorized Official
Title or Position	:	CEO
Name	:	DIONISIO PERALTA
Credential	:
Telephone Number	:	714-533-5154

Provider Enumeration Date	:	08/13/2020
Last Update Date	:	08/13/2020

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Directions to “GRATEFUL HEARTS HOSPICE ” Practice Location

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