# GREAT GRACE HOME INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144989096
- **Authorized official:** ARTUR GAZARYAN (CEO)
- **Authorized official phone:** (818) 480-4829

## Contact information

- **Practice address:** 401 N BRAND BLVD STE 834, GLENDALE, CA 91203-4451
- **Practice address phone:** (818) 480-4829
- **Practice address fax:** (877) 426-0187
- **Mailing address:** 401 N BRAND BLVD STE 834, GLENDALE, CA 91203-4451
- **Mailing address phone:** (818) 480-4829
- **Mailing address fax:** (877) 426-0187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021