The Tree of Life Palliative and Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

THE TREE OF LIFE PALLIATIVE AND HOSPICE INC

Practice address

2357 Honolulu Ave
Suite B
Montrose, CA 91020

Phone

(424) 333-1331

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Julie Khudagulyan

Title

Ceo

Phone

(424) 333-1331

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1295312379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 HONOLULU AVE",
            "address_2": "SUITE B",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "424-333-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 HONOLULU AVE",
            "address_2": "SUITE B",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "424-333-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TREE OF LIFE PALLIATIVE AND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "KHUDAGULYAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-333-1331"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.