GRACE AND GLORY HOSPICE, INC. (NPI# 1811552680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811552680 |
| Entity Type | Organization |
| Organization Name | GRACE AND GLORY HOSPICE, INC. |
| Practice Address |
101 Waldie Plz Ste 11 Antioch CA 94509-1279 |
| Mailing Address |
2206 Eastport Dr Oakley CA 94561-3539 |
| Practice Telephone | 6508985784 |
| Practice Fax Number | 9252064192 |
| Mailing Fax Number | 9252064192 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | JANE PORTER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6508985784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
101 WALDIE PLZ STE 11 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417329830 | Healthstar America Hospice Care | Hospice Care, Community Based | 5065 Deer Valley Rd, Antioch, CA 94531-8311 | 2015-10-25 |
| 1083025779 | East Bay Medical Oncology/hematology Associates, Inc. | Hospice Care, Community Based | 4721 Dallas Ranch Rd, Antioch, CA 94531-8811 | 2014-05-15 |
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| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.