Provider Demographics
NPI:1992684765
Name:GRATEFUL HEARTS SENIOR LIVING
Entity type:Organization
Organization Name:GRATEFUL HEARTS SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HECHANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-438-8066
Mailing Address - Street 1:2342 ADDISON WAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE ROCK
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2604
Mailing Address - Country:US
Mailing Address - Phone:818-438-8066
Mailing Address - Fax:323-255-4455
Practice Address - Street 1:32608 JUNIPER BERRY DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:CA
Practice Address - Zip Code:92596-8658
Practice Address - Country:US
Practice Address - Phone:951-223-3421
Practice Address - Fax:951-223-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility