Active NPI
Panacea Hospice, Inc
- Community Based Hospice Care Agency
- Panorama City, CA
National Provider Identifier
1083123483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PANACEA HOSPICE, INC
- Practice address
- 8215 Van Nuys Blvd Ste 304
Panorama City, CA 91402-4810 - Phone
- (747) 247-1253
- Fax
- (747) 247-1254
- NPI assigned
- Sep 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Delos Reyes
- Title
- Administrator
- Phone
- (747) 247-1253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
8215 Van Nuys Blvd Ste 304
Panorama City, CA 91402-4810
Mailing address
8215 Van Nuys Blvd Ste 304
Panorama City, CA 91402-4810
Phone (747) 247-1253
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2297597 | Panacea Hospice Inc | Certificate of waiver | Jan 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
1617 W Shaw Ave
Ste C1
Fresno, CA 93711
Phone (559) 424-3474
8215 Van Nuys Blvd
Ste 304
Panorama City, CA 91402
Phone (559) 424-3474
2930 Gardena Ave
Signal Hill, CA 90755
Phone (747) 247-1253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1083123483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 VAN NUYS BLVD STE 304",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024810",
"telephone_number": "747-247-1253",
"fax_number": "747-247-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 VAN NUYS BLVD STE 304",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024810",
"telephone_number": "747-247-1253",
"fax_number": "747-247-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANACEA HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "DELOS REYES",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "747-247-1253"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.