Organization Active NPI

Grace Hospice of Arizona, Inc.

  • Community Based Hospice Care Agency
  • Downey, CA
National Provider Identifier
1306152152
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRACE HOSPICE OF ARIZONA, INC.
Practice address
10631 Paramount Blvd
Downey, CA 90241-3303
Phone
(562) 904-7000
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Mr. Roger Bruhn
Title
Secretary / Treasurer
Phone
(918) 894-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

10631 Paramount Blvd
Downey, CA 90241-3303

Mailing address

5314 S Yale Ave
Suite 420
Tulsa, OK 74135-6256
Phone (918) 289-2553

Other names 1

  • Sanctuary Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

2141 E Broadway Rd
Ste 118
Tempe, AZ 85282
Phone (480) 775-2599

2141 E Broadway Rd
Ste 110
Tempe, AZ 85282

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1306152152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE",
            "address_2": "SUITE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356256",
            "telephone_number": "918-289-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413303",
            "telephone_number": "562-904-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "918-894-3487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.