Grandville Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRANDVILLE HOSPICE, INC.

Practice address

4959 Palo Verde St # 202B-1
Montclair, CA 91763-2331

Phone

(951) 215-7354

Fax

(951) 254-9881

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerridyll Aquino

Title

Ceo

Phone

(951) 215-7354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1558948901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST # 202B-1",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "951-215-7354",
            "fax_number": "951-254-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST # 202B-1",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "951-215-7354",
            "fax_number": "951-254-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVILLE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "GERRIDYLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-215-7354"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Josephine Gonzalez
• Samantha Gonzalez
• Vivian Gonzalez
• Darlene Goonzalez
• Grand OB-GYN Medical Group Inc
• Amayah Green
• Katrina Marie Green
• Chimel Greenland
• Eric Brian Greilach
• Akash B Gupta, M.D.

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, 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 Mar 24, 2021; 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.