Active NPI
Engrace Hospice LLC
Doing business as Engrace Hospice
- Community Based Hospice Care Agency
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- 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
- Fabrice Adjam
- Title
- Owner
- Phone
- (541) 263-7494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Certified
- Jul 17, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Fabrice V Adjam | Contracted Managing Employee | May 2, 2022 | 100% |
| 5% Or Greater Direct Ownership Interest | May 2, 2022 | 100% | |
| 5% Or Greater Mortgage Interest | May 2, 2022 | 100% | |
| 5% Or Greater Security Interest | May 2, 2022 | 100% | |
| Corporate Officer | May 2, 2022 | 100% | |
| Corporate Director | May 2, 2022 | 100% | |
| W-2 Managing Employee | May 2, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gold Hill, OR
- NPI 1821171570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.