Provider Demographics
NPI:1427669381
Name:GRATEFUL HEARTS HOSPICE
Entity type:Organization
Organization Name:GRATEFUL HEARTS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIONISIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERALTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-533-5154
Mailing Address - Street 1:9778 KATELLA AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6446
Mailing Address - Country:US
Mailing Address - Phone:714-533-5154
Mailing Address - Fax:714-380-5351
Practice Address - Street 1:9778 KATELLA AVE STE 106
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6446
Practice Address - Country:US
Practice Address - Phone:714-533-5154
Practice Address - Fax:714-380-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based