St. Nicolas Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002291 Issued in CA

Legal business name

ST. NICOLAS HOSPICE CARE, INC.

Practice address

2529 Foothill Blvd
Suite 1
La Crescenta, CA 91214-3521

Phone

(818) 666-9344

Fax

(800) 250-9813

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Narine Avagyan

Title

Ceo/President

Phone

(818) 666-9344

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1356616965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143521",
            "telephone_number": "818-666-9344",
            "fax_number": "800-250-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 FOOTHILL BLVD",
            "address_2": "SUITE 1",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143521",
            "telephone_number": "818-666-9344",
            "fax_number": "800-250-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICOLAS HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "NARINE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-666-9344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550002291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.