Active NPI
Prospect Hospice Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1275116287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PROSPECT HOSPICE INC
- Practice address
- 14416 Victory Blvd Ste 220
Van Nuys, CA 91401-6260 - Phone
- (800) 568-2919
- NPI assigned
- Apr 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Metaksya Shahverdyan
- Title
- Ceo
- Phone
- (818) 602-6293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
14416 Victory Blvd Ste 220
Van Nuys, CA 91401-6260
Mailing address
14416 Victory Blvd Ste 220
Van Nuys, CA 91401-6260
Phone (800) 568-2919
National Provider Directory
National Provider DirectoryLocations
14416 Victory Blvd
Ste 220
Van Nuys, CA 91401
Phone (800) 568-2919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1275116287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14416 VICTORY BLVD STE 220",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016260",
"telephone_number": "800-568-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14416 VICTORY BLVD STE 220",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016260",
"telephone_number": "800-568-2919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPECT HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "SHAHVERDYAN",
"authorized_official_first_name": "METAKSYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-602-6293"
},
"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 Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.