Provider Demographics
NPI:1083297006
Name:POINT OF GRACE HOSPICE CARE, INC
Entity Type:Organization
Organization Name:POINT OF GRACE HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BURDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-559-2134
Mailing Address - Street 1:1000 FITZPATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4808
Mailing Address - Country:US
Mailing Address - Phone:334-559-2134
Mailing Address - Fax:
Practice Address - Street 1:18022 COWAN STE 102
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6866
Practice Address - Country:US
Practice Address - Phone:949-771-8790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based