Organization Active NPI

Hospice of Grace and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Arcadia, CA
National Provider Identifier
1659965077
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Catherine KestenianNPI 1124634886
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN B51536
Certified
Sep 21, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Grace and Palliative Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Martin Kestenian Individual 5% Or Greater Direct Ownership InterestCfo, Secretary Dec 1, 2022 50%
Corporate OfficerCfo, Secretary Dec 1, 2022 50%
Corporate DirectorCfo, Secretary Dec 1, 2022 50%
W-2 Managing EmployeeCfo, Secretary Dec 1, 2022 50%
Catherine Kestenian Individual 5% Or Greater Direct Ownership InterestCeo Dec 1, 2022 50%
Corporate OfficerCeo, Board Member Dec 1, 2022 50%
Corporate DirectorCeo/Administrator Dec 1, 2022 50%
W-2 Managing EmployeeAd;DPCS Dec 1, 2022 50%
Garo Harmandayan Individual Corporate DirectorMedical Director Dec 1, 2022 50%
W-2 Managing EmployeeMD; 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.