Full Heart Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FULL HEART HOSPICE AND PALLIATIVE CARE INC

Practice address

14543 Friar Street
Ste. 102
Van Nuys, CA 91411

Phone

(747) 877-8442

Fax

(323) 616-1422

NPI assigned

Oct 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gohar Harutyunyan

Title

Ceo/Cfo/Sec./BM

Phone

(747) 877-8442

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1013517085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET",
            "address_2": "STE. 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "747-877-8442",
            "fax_number": "323-616-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14543 FRIAR STREET",
            "address_2": "STE. 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "747-877-8442",
            "fax_number": "323-616-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HEART HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO/CFO/SEC./BM",
        "authorized_official_telephone_number": "747-877-8442"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.