St. Grace Hospice, Inc.

LBN: St. Grace Hospice, Inc.
St. Grace Hospice, Inc. is an health care organization with primary practice located at 904 W 9Th St , Upland CA 91786-4576. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. St. Grace Hospice, Inc. can be contacted via phone (909) 723-1175, or through Haywood, Kathleen Janet via phone (909) 723-1175.

Contact Information

Primary practice address
904 W 9Th St Upland CA 91786-4576
Phone: (909) 723-1175
Fax: (909) 723-1174
Website:
Map and Directions
Authorized official contact:
Name: Haywood, Kathleen Janet
Phone: (909) 723-1175

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 550000548 California

Profile Details

NPI number 1598809634
LBN Legal business name St. Grace Hospice, Inc.
DBA Doing business as
Authorized official Haywood, Kathleen Janet
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Jan 17th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598809634 NPPES
California MEDICAID 1598809634

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