Organization Active NPI

Med Star Hospice Care Inc

  • Home Health Agency
  • Monrovia, CA
National Provider Identifier
1083999205
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MED STAR HOSPICE CARE INC
Practice address
1801 S. Myrtle St Suite F
Monrovia, CA 91016
Phone
(626) 359-3415
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Vardan Kostanyan
Title
Ceo
Phone
(626) 359-3415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1801 S. Myrtle St Suite F
Monrovia, CA 91016

Mailing address

1801 S. Myrtle St Suite F
Monrovia, CA 91016
Phone (626) 359-3415

National Provider Directory

National Provider Directory

Locations

1801 S Myrtle Ave
Ste F
Monrovia, CA 91016
Phone (626) 359-3415

319 S Park Ave
Ste 1
Pomona, CA 91766
Phone (626) 359-3415

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1083999205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S. MYRTLE ST SUITE F",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "626-359-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S. MYRTLE ST SUITE F",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "626-359-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "KOSTANYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-359-3415"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.