Vital Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VITAL HOSPICE INC

Practice address

25 Wheeler Ave Ste N
Arcadia, CA 91006-3208

Phone

(626) 829-1411

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armine Zourabian

Title

Ceo

Phone

(626) 829-1411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174119010. Details of each certification follow.

• CCN B41653 Hospice · Terminated · Name & address match · Details

Hospice certification: CCN B41653

Legal name

VITAL HOSPICE INC

Certification status

Terminated , Sep 6, 2025

Provider type (POS)

Hospice

Participating since

Mar 22, 2022

Last certification

Mar 22, 2022

Ownership / control type

Proprietary - Corporation

Facility address

25 Wheeler Ave Suite N
Arcadia, CA 91006

Locations

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1174119010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHEELER AVE STE N",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063208",
            "telephone_number": "626-829-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHEELER AVE STE N",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063208",
            "telephone_number": "626-829-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "ZOURABIAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-829-1411"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Vital
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• Laurie Ann Vitiello, OTR/L CHT.
• Joseph Alexander Vivo, PSY.D.

• Community Based Hospice Care Agency in Arcadia, CA
• Providers in Arcadia, 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 Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.