Light Beam Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIGHT BEAM HOSPICE CARE INC

Practice address

16116 Hart St
Van Nuys, CA 91406-3903

Phone

(818) 355-0880

Fax

(818) 301-0270

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Khachik Shakhoyan

Title

Ceo

Phone

(818) 355-0880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1205228053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16116 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063903",
            "telephone_number": "818-355-0880",
            "fax_number": "818-301-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16116 HART ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063903",
            "telephone_number": "818-355-0880",
            "fax_number": "818-301-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT BEAM HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAKHOYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-355-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Van Nuys, CA
• Providers in Van Nuys, 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, 2015; 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.