Organization Active NPI

Ambrosial Hospice LLC

  • Community Based Hospice Care Agency
  • Mission Hills, CA
National Provider Identifier
1164037966
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMBROSIAL HOSPICE LLC
Practice address
10117 Sepulveda Blvd Ste 206
Mission Hills, CA 91345-2600
Phone
(818) 212-9187
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Evelyn Tindimubona
Title
Asst. Administrator
Phone
(818) 212-9187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

10117 Sepulveda Blvd Ste 206
Mission Hills, CA 91345-2600

Mailing address

10117 Sepulveda Blvd Ste 206
Mission Hills, CA 91345-2600

National Provider Directory

National Provider Directory

Locations

10117 Sepulveda Blvd
Ste 206
Mission Hills, CA 91345
Phone (818) 212-9187

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1164037966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD STE 206",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 SEPULVEDA BLVD STE 206",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452600",
            "telephone_number": "818-212-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "TINDIMUBONA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "818-212-9187"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.