Graceful Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRACEFUL CARE HOSPICE, INC.

Practice address

2082 Newbury Rd
Suite 12
Newbury Park, CA 91320-3329

Phone

(805) 499-3700

Fax

(805) 233-7161

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Virginia Clauna Witt

Title

President / Ceo

Phone

(805) 499-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospice certification: CCN 751779

Legal name

Graceful Care Hospice, Inc

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 23, 2016

Last certification

Jun 27, 2019

Ownership / control type

Proprietary - Corporation

Facility address

2082 Newbury Road, Suites 11-12
Newbury Park, CA 91320

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

CLIA laboratory certificates

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1467866772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 NEWBURY RD",
            "address_2": "SUITE 12",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203329",
            "telephone_number": "805-499-3700",
            "fax_number": "805-233-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 NEWBURY RD",
            "address_2": "SUITE 12",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203329",
            "telephone_number": "805-499-3700",
            "fax_number": "805-233-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "CLAUNA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "805-499-3700"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.