Lucky Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LUCKY HOSPICE CARE INC

Practice address

15720 Ventura Blvd Ste 222
Encino, CA 91436-2972

Phone

(747) 282-0979

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Gohar Diloyan

Title

Ceo

Phone

(747) 282-0979

Specialties & licenses 1

Addresses

Listed as

Lucky Hospice Care, IncCCN B31637

Certified

Dec 14, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1205444023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 222",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362972",
            "telephone_number": "747-282-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 222",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362972",
            "telephone_number": "747-282-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "DILOYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-0979"
    },
    "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 Encino, CA
• Providers in Encino, 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 Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.