Lady of Grace, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LADY OF GRACE, INC

Practice address

10351 Balboa Blvd
Granada Hills, CA 91344-7318

Phone

(818) 831-6651

Fax

(818) 831-9822

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Miss Elizabeth Tumaru Paje

Title

President

Phone

(818) 831-6651

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Fernando Valley Adult Day Health Care Center Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1376759209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447318",
            "telephone_number": "818-831-6651",
            "fax_number": "818-831-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447318",
            "telephone_number": "818-831-6651",
            "fax_number": "818-831-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY OF GRACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "PAJE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "TUMARU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-831-6651",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70150F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Fernando Valley Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.