Organization Active NPI

Vanessa Hospice Services, LLC

Doing business as Vanessa Hospice Services

  • Community Based Hospice Care Agency
  • Tarzana, CA
National Provider Identifier
1023682887
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VANESSA HOSPICE SERVICES, LLC
Practice address
18740 Ventura Blvd Ste 205
Tarzana, CA 91356-6350
Phone
(818) 804-2929
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Raisa KeshishyanNPI 1891577706
Title
Administrator
Phone
(213) 507-7186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

18740 Ventura Blvd Ste 205
Tarzana, CA 91356-6350

Mailing address

4522 Woodman Ave Apt C112
Sherman Oaks, CA 91423-5589
Phone (213) 507-7186

Other names 1

  • Vanessa Hospice Services Former legal business name

National Provider Directory

National Provider Directory

Locations

18740 Ventura Blvd
Ste 205
Tarzana, CA 91356
Phone (818) 774-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1023682887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 WOODMAN AVE APT C112",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235589",
            "telephone_number": "213-507-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 205",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566350",
            "telephone_number": "818-804-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "KESHISHYAN",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-507-7186"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanessa Hospice Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vanessa Hospice Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.