Organization Active NPI

Avicenna Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Encino, CA
National Provider Identifier
1063182913
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVICENNA HOSPICE CARE, INC.
Practice address
17915 Ventura Blvd Ste 224
Encino, CA 91316-4812
Phone
(747) 500-0028
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Astghik Hovhannisyan
Title
Ceo
Phone
(747) 500-0028

Specialties & licenses 1

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

Addresses

Primary practice location

17915 Ventura Blvd Ste 224
Encino, CA 91316-4812

Mailing address

17915 Ventura Blvd Ste 224
Encino, CA 91316-4812

National Provider Directory

National Provider Directory

Locations

17915 Ventura Blvd
Ste 224
Encino, CA 91316
Phone (747) 500-0028

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1063182913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 224",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 224",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164812",
            "telephone_number": "747-500-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "ASTGHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-500-0028"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

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