Debra Grant

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

LIC# 19394 Issued in CA

Legal business name

DEBRA GRANT

Practice address

91 Valley View Dr
Petaluma, CA 94952-1039

Phone

(707) 793-2133

NPI assigned

Dec 10, 2009

Last updated

Dec 10, 2009By 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

Ms. Debra Grant

Title

Social Worker

Phone

(707) 793-2133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1932438504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 VALLEY VIEW DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521039",
            "telephone_number": "707-795-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 VALLEY VIEW DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521039",
            "telephone_number": "707-793-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "707-793-2133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "LIC# 19394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Deann Dean
• Meya Teresa Dean
• Jessie 'Lori' Deans
• Leah T Deberardinis
• Marc Callen Deberardinis, D.M.D., M.S.
• Jason Debrovner, RBT
• Tricia Nicole Decarli
• Karen Decarlo, CD
• Sarah Decoursey
• Christine Deen

• Community Based Hospice Care Agency in Petaluma, CA
• Providers in Petaluma, 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 Dec 10, 2009; 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.