Gracious Heart Hospice & Palliative Care , Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRACIOUS HEART HOSPICE & PALLIATIVE CARE , INC.

Practice address

600 N Mountain Ave Ste C205B
Upland, CA 91786-4315

Phone

(909) 360-2377

Fax

(909) 490-3057

NPI assigned

May 26, 2021

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhodora Serina

Title

Ceo/President

Phone

(909) 360-2377

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1801461215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "909-360-2377",
            "fax_number": "909-490-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C205B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864315",
            "telephone_number": "909-360-2377",
            "fax_number": "909-490-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HEART HOSPICE & PALLIATIVE CARE , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "SERINA",
        "authorized_official_first_name": "RHODORA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-360-2377"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gracioushearthpinc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "600 N Mountain Ave Ste C205B",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917864315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert B Gordon, MD
• Wallace George Gosney, M.D.
• Bjorn Lars Gothberg
• Lien Governanti, PHARM.D.
• Trisna Gozali, NP-C
• Susie J. Graff, MFT
• Ellen Anne Graham, LCSW
• Joseph Graham
• Lindsey Caprice Graham
• Shirely Poblete Graham, PT

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 May 26, 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.