Organization Active NPI

Charter Hospice, LLC.

  • Community Based Hospice Care Agency
  • Simi Valley, CA
National Provider Identifier
1083157119
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550002499 Issued in CA
Legal business name
CHARTER HOSPICE, LLC.
Practice address
5924 E Los Angeles Ave Ste M
Simi Valley, CA 93063-5526
Phone
(909) 835-7300
NPI assigned
Nov 21, 2016
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Sylvie Boal
Title
Attorney
Phone
(866) 669-1686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550002499 CA Primary

Addresses

Primary practice location

5924 E Los Angeles Ave Ste M
Simi Valley, CA 93063-5526

Mailing address

5775 E Los Angeles Ave Ste 226
Simi Valley, CA 93063-5215
Phone (805) 582-0033

National Provider Directory

National Provider Directory

Locations

5775 E Los Angeles Ave
Ste 226
Simi Valley, CA 93063
Phone (805) 582-0033

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1083157119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 E LOS ANGELES AVE STE 226",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635215",
            "telephone_number": "805-582-0033",
            "fax_number": "805-583-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE STE M",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "909-835-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HOSPICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "866-669-1686"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.