Active NPI
Charter Hospice, LLC.
- Community Based Hospice Care Agency
- Simi Valley, CA
National Provider Identifier
1083157119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550002499
- 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, 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
- Sylvie Boal
- Title
- Attorney
- Phone
- (866) 669-1686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.