Organization Active NPI

Glenoaks Hospice Care

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1285294496
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GLENOAKS HOSPICE CARE
Practice address
7430 Coldwater Canyon Ave Unit B
North Hollywood, CA 91605-3501
Phone
(818) 452-9622
Fax
(818) 452-9623
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Sergo Gevorgyan
Title
Ceo
Phone
(818) 452-9622

Specialties & licenses 1

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

Addresses

Primary practice location

7430 Coldwater Canyon Ave Unit B
North Hollywood, CA 91605-3501

Mailing address

7430 Coldwater Canyon Ave Unit B
North Hollywood, CA 91605-3501
Phone (818) 452-9622

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

National Provider Directory

National Provider Directory

Locations

1522 W Glenoaks Blvd
Ste A
Glendale, CA 91201
Phone (424) 444-0440

7430 Coldwater Canyon Ave
Unit B
North Hollywood, CA 91605
Phone (818) 452-9622

7430 Coldwater Canyon Ave
Ste B
North Hollywood, CA 91605
Phone (818) 452-9622

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1285294496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 COLDWATER CANYON AVE UNIT B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053501",
            "telephone_number": "818-452-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 COLDWATER CANYON AVE UNIT B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053501",
            "telephone_number": "818-452-9622",
            "fax_number": "818-452-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENOAKS HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "SERGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-452-9622"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.