Organization Active NPI

Keystone Hospice Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1336547611
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KEYSTONE HOSPICE INC
Practice address
638 S. Van Ness Ave
Unit a
Los Angeles, CA 90005-3201
Phone
(213) 568-3988
Fax
(213) 568-3988
NPI assigned
Dec 18, 2014
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mr. Aaron Antonio
Title
Ceo
Phone
(213) 568-3988

Specialties & licenses 1

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

Addresses

Primary practice location

638 S. Van Ness Ave
Unit a
Los Angeles, CA 90005-3201

Mailing address

638 S. Van Ness Ave.
Unit a
Los Angeles, CA 90005-3201
Phone (213) 568-3988

National Provider Directory

National Provider Directory

Locations

638 S Van Ness Ave
Unit A
Los Angeles, CA 90005
Phone (213) 568-3988

9501 Van Nuys Blvd
Ste 104
Panorama City, CA 91402
Phone (310) 651-4754

9608 Van Nuys Blvd
Ste 106
Panorama City, CA 91402
Phone (310) 651-4754

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1336547611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S. VAN NESS AVE.",
            "address_2": "UNIT A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053201",
            "telephone_number": "213-568-3988",
            "fax_number": "213-568-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 S. VAN NESS AVE",
            "address_2": "UNIT A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053201",
            "telephone_number": "213-568-3988",
            "fax_number": "213-568-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-568-3988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.