Organization Active NPI

Panacea Hospice, Inc

  • Community Based Hospice Care Agency
  • Panorama City, CA
National Provider Identifier
1083123483
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 26, 2023

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297597Panacea Hospice Inc8215 Van Nuys Blvd Suite 304, Panorama City, CA 91402Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.