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ST. GRACE HOSPICE, INC.
NPI 1598809634
Hospice Care, Community Based in Upland, CA

Active since February 19, 2007CLIA 05D1065479 · Waiver
904 W 9TH ST, UPLAND, CA 91786(909) 723-1175(909) 723-1174 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Grace Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. GRACE HOSPICE, INC. (NPI 1598809634) is a healthcare organization registered as a hospice care, community based in Upland, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Kathleen Janet Haywood, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598809634
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameST. GRACE HOSPICE, INC.
Location Address904 W 9TH STUpland, CA 91786-4576
Mailing Address904 W 9th StUpland, CA 91786-4576 · (909) 723-1175 · Fax (909) 723-1174
Phone(909) 723-1175
Fax(909) 723-1174
Organization SubpartNo
Authorized OfficialKathleen Janet HaywoodAdministrator · (909) 723-1175
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJanuary 17, 2011
✔ NPI 1598809634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in CA · 550000548
904 W 9TH ST, Upland, CA 91786
Open in Google Maps ↗

Other Identifiers 2

Medicaid1598809634CA
Medicare PIN551545CA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1065479

St Grace Hospice Inc · Upland, CA
Active · expires Feb 12, 2028
CLIA Number05D1065479
Laboratory TypeHospice
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorGhassan M. Hadi, MD
Laboratory Phone(909) 723-1175
Laboratory LocationSt Grace Hospice Inc904 W 9th St, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2266456

St Grace Hospice House · Upland, CA
Expired · Aug 9, 2026
CLIA Number05D2266456
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorAnousheh Ashouri
Laboratory Phone(909) 577-0110
Laboratory LocationSt Grace Hospice House1351 5th Ave, Upland, CA 91786
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBINSON HOUSE
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Intermediate Care Facility, Intellectual Disabilities
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462
JANET'S ENTERPRISE, INC
Nursing Facility/Intermediate Care Facility
904 W 9TH ST
UPLAND, CA 91786
San Bernardino County (951) 545-4462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Grace Hospice, Inc.'s NPI number?

The NPI number for St. Grace Hospice, Inc. is 1598809634. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is St. Grace Hospice, Inc. located?

St. Grace Hospice, Inc. is located at 904 W 9th St, Upland, CA 91786. The listed phone number is (909) 723-1175.

What is St. Grace Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does St. Grace Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1065479) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Grace Hospice, Inc. was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.