Oak Tree Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAK TREE PALLIATIVE CARE

Practice address

7340 Ethel Ave Ste 105
North Hollywood, CA 91605-4216

Phone

(747) 724-9268

Fax

(951) 346-3463

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dianna Tadevosyan

Title

Ceo

Phone

(747) 724-9268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1316515331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 ETHEL AVE STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054216",
            "telephone_number": "747-724-9268",
            "fax_number": "951-346-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 ETHEL AVE STE 105",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054216",
            "telephone_number": "747-724-9268",
            "fax_number": "951-346-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-724-9268"
    },
    "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 North Hollywood, CA
• Providers in North Hollywood, 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 Jun 15, 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.