Vivid Care Hospice & Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIVID CARE HOSPICE & PALLIATIVE CARE

Practice address

28720 Roadside Dr Ste 100B
Agoura Hills, CA 91301-3302

Phone

(818) 251-0124

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Christina Corpus

Title

Ceo

Phone

(818) 251-0124

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1104440650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 100B",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013302",
            "telephone_number": "818-251-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 100B",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013302",
            "telephone_number": "818-251-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID CARE HOSPICE & PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "CORPUS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-251-0124"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vividcarehospice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "28720 Roadside Dr Ste 100B",
            "city": "Agoura Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913013302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Linda L Vogel
• Cassidy Von Kronemann
• Kelsey Waesche
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• Jennifer Jettie Walker

• Community Based Hospice Care Agency in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.