Provider Demographics
NPI:1306418777
Name:ACROPOLIS HOSPICE, INC
Entity Type:Organization
Organization Name:ACROPOLIS HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIE GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVINA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:949-813-7227
Mailing Address - Street 1:520 N BROOKHURST ST STE 123B
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5233
Mailing Address - Country:US
Mailing Address - Phone:949-813-7227
Mailing Address - Fax:
Practice Address - Street 1:520 N BROOKHURST ST STE 123B
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5233
Practice Address - Country:US
Practice Address - Phone:949-813-7227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based