Ag Hospice and Palliative Care Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AG HOSPICE AND PALLIATIVE CARE SERVICES

Practice address

14545 Friar St Ste 237K
Van Nuys, CA 91411-2397

Phone

(909) 999-0900

NPI assigned

Jan 30, 2021

Organization subpart

No

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

Authorized official

Name

Grigori Davdyan

Title

Ceo

Phone

(909) 999-0900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1306437504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "909-999-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "909-999-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HOSPICE AND PALLIATIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "DAVDYAN",
        "authorized_official_first_name": "GRIGORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-999-0900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "14545 Friar St Ste 237K",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.