Organization Active NPI

Divine Angelic Hospice Care Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1184206971
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIVINE ANGELIC HOSPICE CARE INC
Practice address
805 E Wilson Ave Unit B
Glendale, CA 91206-4457
Phone
(818) 396-5678
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Artur Ghukasyan
Title
Ceo
Phone
(818) 396-5678

Specialties & licenses 1

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

Addresses

Primary practice location

805 E Wilson Ave Unit B
Glendale, CA 91206-4457

Mailing address

805 E Wilson Ave Unit B
Glendale, CA 91206-4457
Phone (818) 396-5678

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1184206971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E WILSON AVE UNIT B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064457",
            "telephone_number": "818-396-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WILSON AVE UNIT B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064457",
            "telephone_number": "818-396-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGELIC HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "GHUKASYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-5678"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.