Fidelity Hospice, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIDELITY HOSPICE, INC.

Practice address

4225 Valley Fair St Ste 102
Simi Valley, CA 93063-2954

Phone

(805) 520-7600

Fax

(805) 426-8989

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Inga Hakhumyan, CEO

Title

Ceo

Phone

(805) 520-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Mission Hospice of Ventura LLC

  • Community Based Hospice Care Agency
  • Oxnard, CA
  • NPI 1912568932

  Sold to, 2019-07-15

  CMS change of ownership

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1316285810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST., SUITE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930634225",
            "telephone_number": "805-520-7600",
            "fax_number": "805-426-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST STE 102",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632954",
            "telephone_number": "805-520-7600",
            "fax_number": "805-426-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HAKHUMYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-520-7600",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Fernando
• Lindsey Ferralli, RRT
• Cinthia Elena Ferreira-Miller, LMFT
• Tracy Marie Ferris, MFTI
• Fidelity Home Health Care Inc
• Robert Alexander Fielding, PA
• Gloria Finch
• Maureen Patricia Finkle, LCSW
• First Response Home Health Services, Inc.
• First Response Home Health Services, Inc.

• Home Health Agency in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.