Organization Active NPI

La Hospice Center, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1316595283
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LA HOSPICE CENTER, INC.
Practice address
13609 Victory Blvd Unit 209
Van Nuys, CA 91401-1736
Phone
(877) 714-8769
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Suzy Jabaguryan
Title
Ceo
Phone
(877) 714-8769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

13609 Victory Blvd Unit 209
Van Nuys, CA 91401-1736

Mailing address

13609 Victory Blvd Unit 209
Van Nuys, CA 91401-1736
Phone (877) 714-8769

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

National Provider Directory

National Provider Directory

Locations

10201 Riverside Dr
Ste 203
Toluca Lake, CA 91602
Phone (818) 696-5016

13609 Victory Blvd
Ste 209
Van Nuys, CA 91401
Phone (818) 696-5016

13609 Victory Blvd
Unit 209
Van Nuys, CA 91401
Phone (877) 714-8769

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1316595283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD UNIT 209",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011736",
            "telephone_number": "877-714-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD UNIT 209",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011736",
            "telephone_number": "877-714-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HOSPICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "JABAGURYAN",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-714-8769"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.