Organization Active NPI

CMS Hospice, Inc.

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1104242361
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CMS HOSPICE, INC.
Practice address
5100 E la Palma Ave
Suite 213
Anaheim, CA 92807-2081
Phone
(714) 495-2500
Fax
(714) 495-2500
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Rozanna Avetyan
Title
Ceo/President
Phone
(424) 644-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5100 E la Palma Ave
Suite 213
Anaheim, CA 92807-2081

Mailing address

5100 E la Palma Ave
Suite 213
Anaheim, CA 92807-2081
Phone (714) 495-2500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1104242361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 E LA PALMA AVE",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072081",
            "telephone_number": "714-495-2500",
            "fax_number": "714-495-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 E LA PALMA AVE",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072081",
            "telephone_number": "714-495-2500",
            "fax_number": "714-495-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "AVETYAN",
        "authorized_official_first_name": "ROZANNA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "424-644-4747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.