Provider Demographics
NPI:1558907055
Name:GRACE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:GRACE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ ADMINISTRATOR/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CADIENTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-494-3273
Mailing Address - Street 1:1739 TERMINO AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-2121
Mailing Address - Country:US
Mailing Address - Phone:562-494-3273
Mailing Address - Fax:562-494-4597
Practice Address - Street 1:1739 TERMINO AVE STE A
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2121
Practice Address - Country:US
Practice Address - Phone:562-494-3273
Practice Address - Fax:562-494-4597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based