Active NPI
Glenoaks Hospice Care
- Community Based Hospice Care Agency
- North Hollywood, CA
National Provider Identifier
1285294496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.