Channel Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHANNEL HOSPICE

Practice address

5657 Wilshire Blvd Unit 425
Los Angeles, CA 90036-3736

Phone

(323) 381-5204

Fax

(323) 381-5202

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 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

Ms. Brittany Pena

Title

Owner, Ceo, Cfo, Secretary

Phone

(323) 381-5204

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1215524350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 WILSHIRE BLVD UNIT 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363736",
            "telephone_number": "323-381-5204",
            "fax_number": "323-381-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 WILSHIRE BLVD UNIT 425",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363736",
            "telephone_number": "323-381-5204",
            "fax_number": "323-381-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "323-381-5204",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Los Angeles, CA
• Providers in Los Angeles, 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 23, 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.