# GRATEFUL HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1861069981
- **Authorized official:** JUAN REYNOSO (CEO)
- **Authorized official phone:** (818) 807-5024

## Contact information

- **Practice address:** 6308 WOODMAN AVE STE 205, VAN NUYS, CA 91401-2387
- **Practice address phone:** (818) 807-5024
- **Mailing address:** 6308 WOODMAN AVE, VAN NUYS, CA 91401-2347
- **Mailing address phone:** (818) 687-3793

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2021
- **Last updated:** 07/21/2022