Organization Active NPI

Graceful Hospice Care Inc

  • Community Based Hospice Care Agency
  • Glendora, CA
National Provider Identifier
1508414137
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRACEFUL HOSPICE CARE INC
Practice address
620 W Route 66 Ste 219
Glendora, CA 91740-4173
Phone
(818) 641-4703
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Artur Agabalyan
Title
Ceo
Phone
(818) 641-4703

Specialties & licenses 1

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

Addresses

Primary practice location

620 W Route 66 Ste 219
Glendora, CA 91740-4173

Mailing address

620 W Route 66 Ste 219
Glendora, CA 91740-4173
Phone (818) 641-4703

Care Compare: Hospice

Medicare Care Compare
Listed as
Graceful Hospice Care IncCCN B51541
Certified
Sep 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

620 W Route 66
Ste 219
Glendora, CA 91740
Phone (818) 641-4703

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1508414137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 219",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-641-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 219",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-641-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "AGABALYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-641-4703"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.