Adventum Hospice and Palliative Care

Key facts

NPI

1295307494

Entity type

Organization (NPI type 2)

Primary specialty

Community Based Hospice Care Agency 251G00000X

Legal business name

ADVENTUM HOSPICE AND PALLIATIVE CARE

Practice address

130 N Brand Blvd Ste 204
Glendale, CA 91203-2617

Phone

(818) 570-9065

NPI assigned

Jul 15, 2021

Organization subpart

No

Authorized official

Name

Miss Jade Crystal Hanson

Title

Compliance Officer

Phone

(714) 770-0152

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2021.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1295307494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032617",
            "telephone_number": "818-570-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032617",
            "telephone_number": "818-570-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTUM HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-770-0152",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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