Life Renewal Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE RENEWAL HOSPICE CARE INC.

Practice address

16442 Vanowen St Ste C
Lake Balboa, CA 91406-4729

Phone

(323) 909-5655

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Maria SahakyanNPI 1437826658

Title

Ceo

Phone

(323) 909-5655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Sahakyan, PHARMACY INTERN

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1437826658
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1124638366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16442 VANOWEN ST STE C",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "323-909-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16442 VANOWEN ST STE C",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "323-909-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RENEWAL HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-909-5655"
    },
    "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 Lake Balboa, CA
• Providers in Lake Balboa, 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 Mar 2, 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.