Active NPI
Agahospice Inc.
- Community Based Hospice Care Agency
- Victorville, CA
National Provider Identifier
1114353141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AGAHOSPICE INC.
- Practice address
- 16519 Victor St
Ste 324 B
Victorville, CA 92395-3965 - Phone
- (760) 881-3441
- Fax
- (760) 881-3442
- NPI assigned
- Sep 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gohar Maranjyan
- Title
- President/Ceo
- Phone
- (760) 881-3441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
16519 Victor St
Ste 324 B
Victorville, CA 92395-3965
Mailing address
16519 Victor St
Ste 324 B
Victorville, CA 92395-3965
Phone (760) 881-3441
Care Compare: Hospice
Medicare Care Compare- Listed as
- Agahospice Inc.
- Ownership
- For-Profit
- Certified
- Jun 25, 2019
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
16519 Victor St
Ste 324B
Victorville, CA 92395
Phone (760) 881-3441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379894400000",
"number": "1114353141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16519 VICTOR ST",
"address_2": "STE 324 B",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953965",
"telephone_number": "760-881-3441",
"fax_number": "760-881-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16519 VICTOR ST",
"address_2": "STE 324 B",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953965",
"telephone_number": "760-881-3441",
"fax_number": "760-881-3442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAHOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A",
"authorized_official_last_name": "MARANJYAN",
"authorized_official_first_name": "GOHAR",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "760-881-3441"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.