Lavella Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LAVELLA HOSPICE, INC.

Practice address

5900 Sepulveda Blvd # 102-6
Van Nuys, CA 91411-2511

Phone

(424) 339-3396

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Khoren Mamikonian

Title

Owner

Phone

(818) 482-0577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1275146144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SEPULVEDA BLVD # 102-6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112511",
            "telephone_number": "818-482-0577",
            "fax_number": "818-301-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SEPULVEDA BLVD # 102-6",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112511",
            "telephone_number": "424-339-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVELLA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "MAMIKONIAN",
        "authorized_official_first_name": "KHOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-482-0577"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.