Active NPI
Hospice of Grace and Palliative Care Inc
- Community Based Hospice Care Agency
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE OF GRACE AND PALLIATIVE CARE INC
- Practice address
- 351 E Foothill Blvd Ste 250
Arcadia, CA 91006-7426 - Phone
- (818) 553-6646
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Kestenian
- Title
- Ceo
- Phone
- (818) 553-6646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
351 E Foothill Blvd Ste 250
Arcadia, CA 91006-7426
Mailing address
351 E Foothill Blvd Ste 250
Arcadia, CA 91006-7426
Phone (818) 553-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220503002732 | CA | Part A Provider - Hospice | 8123415577 | Practice locations: Arcadia, CA |
Hospice certification: CCN B51536
- Legal name
- HOSPICE OF GRACE AND PALLIATIVE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 21, 2022
- Last certification
- Sep 9, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 2, 2021 in CA
- Enrollment address
- 351 E Foothill Blvd
Ste 250
Arcadia, CA 91006-7426
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice of Grace and Palliative Care Inc
- Certified
- Sep 21, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hospice of Grace and Palliative Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Arcadia, CA
- NPI 1043152267
Locations
10700 Ventura Blvd
Ste 2A
Studio City, CA 91604
Phone (651) 200-0000
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Martin Kestenian | 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 50% |
| Corporate Officer | Dec 1, 2022 | 50% | |
| Corporate Director | Dec 1, 2022 | 50% | |
| W-2 Managing Employee | Dec 1, 2022 | 50% | |
| Catherine Kestenian | 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 50% |
| Corporate Officer | Dec 1, 2022 | 50% | |
| Corporate Director | Dec 1, 2022 | 50% | |
| W-2 Managing Employee | Dec 1, 2022 | 50% | |
| Garo Harmandayan | Corporate Director | Dec 1, 2022 | 50% |
| W-2 Managing Employee | Dec 1, 2022 | 50% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- West Hollywood, CA
- NPI 1326309055
Corporate Director, W-2 Managing Employee
-
- Gerontology Nurse Practitioner
- Arcadia, CA
- NPI 1124634886
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Arcadia, CA
- NPI 1124634886
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- West Hollywood, CA
- NPI 1326309055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1659965077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 E FOOTHILL BLVD STE 250",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067426",
"telephone_number": "818-553-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 E FOOTHILL BLVD STE 250",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067426",
"telephone_number": "818-553-6646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF GRACE AND PALLIATIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "KESTENIAN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-553-6646"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.