Principle Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRINCIPLE HOSPICE, INC.

Practice address

9608 Van Nuys Blvd Ste 208
Panorama City, CA 91402-1043

Phone

(818) 836-9388

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Anton Gorskikh

Title

Ceo

Phone

(818) 836-9388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1285218495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 208",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-836-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 208",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-836-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "GORSKIKH",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-836-9388"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Powers II, M.D., M.P.H.
• Carol Preciado, D.M.D.
• Joan E. Presby, MD
• Prime Med Health
• Principle Home Health , Inc.
• Proactive Billing & Consulting
• Progressive Health Care Providers, Inc.
• Promed Group Services
• Jayashree Puvvula, MD
• Qualdig Inc

• Community Based Hospice Care Agency in Panorama City, CA
• Providers in Panorama City, 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 May 12, 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.