NPIMap

Organization Active NPI

Grace Home Health Care

Doing business as GRACE Home Health Care, Inc.

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1326032137
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE HOME HEALTH CARE
Doing business as
GRACE Home Health Care, Inc.
Practice address
1739 Termino Ave
Long Beach, CA 90804-2121
Phone
(562) 498-0203
Fax
(562) 498-0223
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Angelito D Cadiente, OWNER
Title
Ceo/President
Phone
(562) 498-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

1739 Termino Ave
Long Beach, CA 90804-2121

Mailing address

1739 Termino Ave
Long Beach, CA 90804-2121
Phone (562) 498-0203

Other identifiers 2

IdentifierTypeStateIssuer
HHA57613FMedicaidCA
ZZZ03422ZOtherCABLUESHIELD OF CA

Other names 1

  • GRACE Home Health Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000630 CA Part A Provider - Home Health Agency 8628147659 Practice locations: Long Beach, CA

Home health agency certification: CCN 557613

Legal name
GRACE HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 1995
Last certification
Jan 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 23, 1995 in CA
Enrollment address
1739 Termino Ave
Long Beach, CA 90804-2121

Care Compare: Home health agency

Medicare Care Compare
Listed as
Grace Home Health CareCCN 557613 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 7, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0926649Grace Home Health Care1739 Termino Ave, Long Beach, CA 90804Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cris de la Cruz Individual Corporate DirectorMember of the Board Sep 27, 2016
John Sage Individual Corporate DirectorMember of the Board Sep 27, 2016
US Metro Bank Organization, Garden Grove, CA Financial institution 5% Or Greater Security Interest Dec 16, 2019 73.39%
Marie Cadiente Individual Corporate Officer Sep 27, 2016
Corporate Director Sep 27, 2016
W-2 Managing Employee Sep 15, 2008
Loida Cadiente Individual Corporate Director May 23, 1995
W-2 Managing Employee May 23, 1995
Angelo L Cadiente Individual 5% Or Greater Direct Ownership Interest Sep 27, 2016 100%
Corporate Officer Aug 1, 2008
Corporate Director Sep 27, 2016
W-2 Managing Employee Aug 1, 2008

Practitioners & affiliated clinicians

Affiliated clinicians 28

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1326032137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042121",
            "telephone_number": "562-498-0203",
            "fax_number": "562-498-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042121",
            "telephone_number": "562-498-0203",
            "fax_number": "562-498-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "CADIENTE",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-498-0203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57613F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF CA",
            "identifier": "ZZZ03422Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE Home Health Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.