Lifeline Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFELINE HOSPICE, INC.

Practice address

14349 Victory Blvd
Ste 204
Van Nuys, CA 91401-1950

Phone

(818) 988-7928

Fax

(818) 474-8686

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Ruzanna Tatevosyan

Title

Ceo

Phone

(818) 988-7928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1285915678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14349 VICTORY BLVD",
            "address_2": "STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14349 VICTORY BLVD",
            "address_2": "STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011950",
            "telephone_number": "818-988-7928",
            "fax_number": "818-474-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "TATEVOSYAN",
        "authorized_official_first_name": "RUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-988-7928"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 5, 2012; 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.