Fortitude Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FORTITUDE HOSPICE, INC

Practice address

520 N Brookhurst St Ste 132
Anaheim, CA 92801-5233

Phone

(562) 352-8868

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Marie Grace Gavina

Title

Ceo

Phone

(562) 352-8868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1568939015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 132",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015233",
            "telephone_number": "562-352-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 132",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015233",
            "telephone_number": "562-352-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "GAVINA",
        "authorized_official_first_name": "MARIE GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-352-8868"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Fornalski, MD
• Pamela Katrina L Foronda
• Farhad Foroutan
• Natalie Nayeli Forstall
• Fortitude Home Health, Inc
• Jamie Ashley Fortman, MD
• Elizabeth Foster
• Foundations to Futures ABA Company LLC
• Four Horsemen Pharmacy Inc
• Four Seasons Medical Group

• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, 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 Jul 14, 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.