Mother Mia Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOTHER MIA HOSPICE, INC

Practice address

21900 Burbank Blvd Ste 3130
Woodland Hills, CA 91367-6469

Phone

(747) 254-2766

Fax

(818) 337-0353

NPI assigned

May 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Erik Arbouet

Title

Ceo/Cfo/Secretary/Board Member

Phone

(747) 254-2766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1104492362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 BURBANK BLVD STE 3130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676469",
            "telephone_number": "747-254-2766",
            "fax_number": "818-337-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 BURBANK BLVD STE 3130",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676469",
            "telephone_number": "747-254-2766",
            "fax_number": "818-337-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER MIA HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "ARBOUET",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY/BOARD MEMBER",
        "authorized_official_telephone_number": "747-254-2766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland 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 May 28, 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.