Grace Palliative and Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRACE PALLIATIVE AND HOSPICE CARE

Practice address

8119 Foothill Blvd Ste 5
Sunland, CA 91040-3600

Phone

(747) 282-1898

Fax

(747) 282-1899

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Melik Gozalian

Title

Ceo

Phone

(747) 282-1898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51512

Legal name

GRACE PALLIATIVE AND HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 30, 2022

Last certification

Aug 24, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 4, 2020 in CA

Enrollment address

8119 Foothill Blvd
Ste 5
Sunland, CA 91040-3600

Listed as

Grace Palliative & Hospice CareCCN B51512 · All quality measures

Certified

Aug 30, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Eufrocino Cabotaje Martinez, M. D.

  • Surgery Physician
  • Norwalk, CA
  • NPI 1891877056

  Contracted Managing Employee

  CMS ownership
• Maribel Maramara Pagkalinawan, FNP

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1598132185

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Eufrocino Cabotaje Martinez, M. D.

  • Surgery Physician
  • Norwalk, CA
  • NPI 1891877056

  Geriatric Medicine

  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1720602790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8119 FOOTHILL BLVD STE 5",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403600",
            "telephone_number": "747-282-1898",
            "fax_number": "747-282-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 FOOTHILL BLVD STE 5",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910403600",
            "telephone_number": "747-282-1898",
            "fax_number": "747-282-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PALLIATIVE AND HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "GOZALIAN",
        "authorized_official_first_name": "MELIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-1898"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Gomez, APRN PMHNP
• Megan Gomez, RPH
• Jonathan A Gonzales
• Glendy Leticia Gonzalez Baten
• Lia Gorelishvili
• Grant Otuzbiryan
• Grove Home Health, Inc.
• Grove Hospice Services
• Jennifer Halcomb, BCBA
• Happy Hearts Transportation LLC

• Community Based Hospice Care Agency in Sunland, CA
• Providers in Sunland, 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 Jun 4, 2020; 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.

Verify at the official NPI Registry.