Organization Active NPI

East Coast Hospice Inc.

  • Community Based Hospice Care Agency
  • Fairfax, VA
National Provider Identifier
1043005432
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EAST COAST HOSPICE INC.
Doing business as
East Coast Hospice
Practice address
11350 Random Hills Rd Ste 819
Fairfax, VA 22030-6044
Phone
(703) 996-9996
Fax
(703) 996-9360
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Arsen Kazaryan
Title
Owner/Shareholder
Phone
(818) 601-0616

Specialties & licenses 1

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

Addresses

Primary practice location

11350 Random Hills Rd Ste 819
Fairfax, VA 22030-6044

Mailing address

11350 Random Hills Rd Ste 819
Fairfax, VA 22030-6044
Phone (703) 996-9996

Other names 1

  • East Coast Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

11350 Random Hills Rd
Ste 819
Fairfax, VA 22030
Phone (703) 988-1080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1043005432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 819",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "703-996-9996",
            "fax_number": "703-996-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 819",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "703-996-9996",
            "fax_number": "703-996-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "KAZARYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "OWNER/SHAREHOLDER",
        "authorized_official_telephone_number": "818-601-0616"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Coast Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.