Provider Demographics
NPI:1891304390
Name:GRS HOSPICE INC
Entity Type:Organization
Organization Name:GRS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKIASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-651-3632
Mailing Address - Street 1:350 RHODE ISLAND ST STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5188
Mailing Address - Country:US
Mailing Address - Phone:415-651-3632
Mailing Address - Fax:415-651-5963
Practice Address - Street 1:350 RHODE ISLAND ST STE 240
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5188
Practice Address - Country:US
Practice Address - Phone:415-651-3632
Practice Address - Fax:415-651-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based