Edgewood Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDGEWOOD HOSPICE CARE, INC.

Practice address

7324 Sepulveda Blvd Ste 170
Van Nuys, CA 91405-1751

Phone

(747) 236-6020

Fax

(747) 236-6021

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayane Avetisyan

Title

Ceo

Phone

(747) 236-6020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1356914188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SEPULVEDA BLVD STE 170",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051751",
            "telephone_number": "747-236-6020",
            "fax_number": "747-236-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 SEPULVEDA BLVD STE 170",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051751",
            "telephone_number": "747-236-6020",
            "fax_number": "747-236-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-236-6020"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 20, 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.