Organization Active NPI

Mission Hospice, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1265067375
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MISSION HOSPICE, INC.
Practice address
6315 Van Nuys Blvd # 206
Van Nuys, CA 91401-2615
Phone
(818) 847-7551
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Roman Inks
Title
President
Phone
(818) 847-7551

Specialties & licenses 1

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

Addresses

Primary practice location

6315 Van Nuys Blvd # 206
Van Nuys, CA 91401-2615

Mailing address

6315 Van Nuys Blvd # 206
Van Nuys, CA 91401-2615

National Provider Directory

National Provider Directory

Locations

18747 Sherman Way
Ste 218
Reseda, CA 91335
Phone (818) 847-7551

6315 Van Nuys Blvd
#206
Van Nuys, CA 91401
Phone (818) 847-7551

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1265067375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 VAN NUYS BLVD # 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 VAN NUYS BLVD # 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012615",
            "telephone_number": "818-847-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "INKS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-847-7551"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.