Organization Active NPI

Hope and Grace

  • Substance Abuse Rehabilitation Facility
  • Covina, CA
National Provider Identifier
1275768509
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOPE AND GRACE
Practice address
865 W Glentana St
Suite 3
Covina, CA 91722-3617
Phone
(626) 918-7636
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antonio AndresNPI 1215182266
Title
Director
Phone
(626) 918-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

865 W Glentana St
Suite 3
Covina, CA 91722-3617

Mailing address

865 W Glentana St
Suite 3
Covina, CA 91722
Phone (626) 918-7636

National Provider Directory

National Provider Directory

Locations

865 W Glentana St
Ste 3
Covina, CA 91722
Phone (626) 918-7636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1275768509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 W GLENTANA ST",
            "address_2": "SUITE 3",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91722",
            "telephone_number": "626-918-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W GLENTANA ST",
            "address_2": "SUITE 3",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223617",
            "telephone_number": "626-918-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-918-7636"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.