Organization Active NPI

MG Hospice Inc

  • Community Based Hospice Care Agency
  • Northridge, CA
National Provider Identifier
1063090181
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MG HOSPICE INC
Practice address
8815 Reseda Blvd # F
Northridge, CA 91324-4040
Phone
(747) 224-6991
Fax
(747) 252-5438
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Mr. Garegin Mikaelyan
Title
Ceo
Phone
(323) 401-0271

Specialties & licenses 1

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

Addresses

Primary practice location

8815 Reseda Blvd # F
Northridge, CA 91324-4040

Mailing address

8815 Reseda Blvd # F
Northridge, CA 91324-4040
Phone (747) 224-6991

Other names 1

  • MG HospiceInc Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hospice Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8815 Reseda Blvd
#F
Northridge, CA 91324
Phone (747) 224-6991

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1063090181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 RESEDA BLVD # F",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244040",
            "telephone_number": "747-224-6991",
            "fax_number": "747-252-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 RESEDA BLVD # F",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244040",
            "telephone_number": "747-224-6991",
            "fax_number": "747-252-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MIKAELYAN",
        "authorized_official_first_name": "GAREGIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-401-0271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hospice",
            "affiliation": "N",
            "endpointDescription": "hospice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "hospice",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hospice",
            "address_1": "8815 Reseda Blvd # F",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913244040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MG HospiceInc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.