Viridian Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIRIDIAN HEALTHCARE LLC

Practice address

13658 Hawthorne Blvd Ste 201
Hawthorne, CA 90250

Phone

(310) 877-5368

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Henry Pekun

Title

President

Phone

(310) 877-5368

Specialties & licenses 2

Addresses

Other names 1

• Viridian Hospice Agency Doing business as

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1225524663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13658 HAWTHORNE BLVD STE 201",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505822",
            "telephone_number": "310-877-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13658 HAWTHORNE BLVD STE 201",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-877-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRIDIAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "PEKUN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-877-5368"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viridian Hospice Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Alexandra Villa, PPS
• Chris Socorro Villalobos, CADC II
• Lourdes Mangohig Villanueva, DDS
• Anthony G. Viola, DDS
• Violets Garden Home Health and Palliative Care Services
• Virtous Express
• Laura Ngoan Vo, RDHAP
• Casey Nicole Vondette
• Michael Vu
• Walgreen Co

• Community Based Hospice Care Agency in Hawthorne, CA
• Providers in Hawthorne, 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 Aug 17, 2018; 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.