Gracevilla,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000032 Issued in CA

Legal business name

GRACEVILLA,INC

Practice address

723 E 9TH St
Long Beach, CA 90813-4611

Phone

(562) 491-2797

Fax

(562) 491-0945

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Trilochan Singh

Title

Coo

Phone

(510) 468-1909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1588080451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-449-3400",
            "fax_number": "707-450-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 9TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134611",
            "telephone_number": "562-491-2797",
            "fax_number": "562-491-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEVILLA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TRILOCHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "510-468-1909"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Hospice Care, Inc.
• Irene L Grace, M.D., M.P.H.
• Marcia Jean Grace, MSW/LCSW
• Maria Astrid Kim Jimenez Grace, PTA
• Gracevilla,Inc
• Ian Paolo Pacalin Gracilla
• Janet Dampil Gragera
• Christine Lynn Graham, LCSW
• Ana Cristina Grajeda
• Kathleen Grams, MSW

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.