# GRAPEVINE HOMECARE INC

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

## Provider details

- **NPI number:** 1942476031
- **Authorized official:** VILMA G AFANTE (COO)
- **Authorized official phone:** (213) 389-8200

## Contact information

- **Practice address:** 1007 E DOMINGUEZ ST STE P, CARSON, CA 90746-7244
- **Practice address phone:** (213) 389-8200
- **Practice address fax:** (213) 389-8201
- **Mailing address:** 10523 BURBANK BLVD STE 215, NORTH HOLLYWOOD, CA 91601-2239
- **Mailing address phone:** (818) 985-0888
- **Mailing address fax:** (818) 985-0889

## Taxonomy

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

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 12/04/2017