Organization Active NPI

Engrace Hospice LLC

Doing business as Engrace Hospice

  • Community Based Hospice Care Agency
  • Pendleton, OR
National Provider Identifier
1871239384
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENGRACE HOSPICE LLC
Doing business as
Engrace Hospice
Practice address
200 SE Hailey Ave Ste 212a
Pendleton, OR 97801-3072
Phone
(971) 207-8402
NPI assigned
May 8, 2022
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Fabrice Adjam
Title
Owner
Phone
(541) 263-7494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

200 SE Hailey Ave Ste 212a
Pendleton, OR 97801-3072

Mailing address

9507 NE Gertz Cir
Portland, OR 97211-1269
Phone (541) 263-7494

Other names 1

  • Engrace Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120000995 CA Part A Provider - Hospice 7315318847 Practice locations: Pendleton, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871239384. Details of each certification follow.

Hospice certification: CCN 381588

Legal name
ENGRACE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 17, 2023
Last certification
Jun 28, 2023
Organization structure
LLCProprietary
Incorporated
May 2, 2022 in OR
Enrollment address
512 SW Quinney PL
Pendleton, OR 97801-9461

Care Compare: Hospice

Medicare Care Compare
Listed as
Engrace HospiceCCN 381588 · All quality measures
Certified
Jul 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

200 SE Hailey Ave
Ste 212A
Pendleton, OR 97801
Phone (971) 207-8402

512 SW Quinney Pl
Pendleton, OR 97801
Phone (541) 263-7494

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Fabrice V Adjam Individual Contracted Managing EmployeeAdminstrator/Owner May 2, 2022 100%
5% Or Greater Direct Ownership InterestManageria,Billing,Administration May 2, 2022 100%
5% Or Greater Mortgage InterestManageria,Billing,Administration May 2, 2022 100%
5% Or Greater Security Interest May 2, 2022 100%
Corporate OfficerAdminstrator/Owner May 2, 2022 100%
Corporate DirectorAdminstrator May 2, 2022 100%
W-2 Managing EmployeeAdminstrator May 2, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1651968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1871239384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 NE GERTZ CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111269",
            "telephone_number": "541-263-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HAILEY AVE STE 212A",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013072",
            "telephone_number": "971-207-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGRACE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "ADJAM",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-263-7494"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engrace Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.