Premium Palliative Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIUM PALLIATIVE SERVICES INC

Practice address

14525 Vanowen St # 6
Van Nuys, CA 91405-3941

Phone

(747) 333-5955

NPI assigned

Mar 30, 2020

Organization subpart

No

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

Authorized official

Name

Anahit Grigoryan

Title

Ceo

Phone

(747) 333-5955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1154959740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14525 VANOWEN ST # 6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053941",
            "telephone_number": "747-333-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 VANOWEN ST # 6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053941",
            "telephone_number": "747-333-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PALLIATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-333-5955"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.