Blossom Wings Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLOSSOM WINGS HOSPICE, INC.

Practice address

14529 Archwood St Ste 200
Van Nuys, CA 91405-4602

Phone

(747) 201-7461

Fax

(747) 201-7481

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Arman Sargsyan

Title

Co/President

Phone

(747) 201-7461

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1336720267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "747-201-7461",
            "fax_number": "747-201-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14529 ARCHWOOD ST STE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054602",
            "telephone_number": "747-201-7461",
            "fax_number": "747-201-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM WINGS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SARGSYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CO/PRESIDENT",
        "authorized_official_telephone_number": "747-201-7461"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "blossomwingshospice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "14529 Archwood St Ste 200",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914054602",
            "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 Apr 21, 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.