Victorville Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VICTORVILLE HOSPICE CARE

Practice address

14360 St Andrews Dr Ste 4
Victorville, CA 92395-4341

Phone

(760) 514-5767

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Vergine Chakhbazian

Title

Ceo

Phone

(760) 514-5767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1073196945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 ST ANDREWS DR STE 4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954341",
            "telephone_number": "760-514-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 ST ANDREWS DR STE 4",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954341",
            "telephone_number": "760-514-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORVILLE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CHAKHBAZIAN",
        "authorized_official_first_name": "VERGINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-514-5767"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, CA by specialty
• Community Based Hospice Care Agency in California

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