Organization Active NPI

Peaceful Heart Hospice

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1083289102
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACEFUL HEART HOSPICE
Practice address
12011 Victory Blvd Ste 203
North Hollywood, CA 91606-3330
Phone
(818) 358-3234
Fax
(626) 796-8285
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Nune Manukyan
Title
Ceo
Phone
(818) 358-3234

Specialties & licenses 1

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

Addresses

Primary practice location

12011 Victory Blvd Ste 203
North Hollywood, CA 91606-3330

Mailing address

12011 Victory Blvd Ste 203
North Hollywood, CA 91606-3330
Phone (818) 358-3234

National Provider Directory

National Provider Directory

Locations

12011 Victory Blvd
Ste 203
North Hollywood, CA 91606
Phone (626) 796-8949

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1083289102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-358-3234",
            "fax_number": "626-796-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-358-3234",
            "fax_number": "626-796-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEART HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "NUNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-358-3234"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.