Organization Active NPI

Prospect Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1275116287
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 28, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.