Avita Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVITA HOSPICE CARE INC

Practice address

613 E Glenoaks Blvd Ste a
Glendale, CA 91207-1711

Phone

(818) 245-4417

Fax

(818) 688-8164

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Suzanna Pembedjian

Title

President/Ceo

Phone

(818) 245-4417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1356947899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071711",
            "telephone_number": "818-245-4417",
            "fax_number": "818-688-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071711",
            "telephone_number": "818-245-4417",
            "fax_number": "818-688-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "PEMBEDJIAN",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-245-4417"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avg Home Health Care, Inc.
• Avid Care Professionals
• Avida Health Systems Solutions Inc
• Andrew Avila, DO
• Guillermo Enrique Avila Jr.
• Avo Transport Inc
• Tanya Avoyan, LMFT
• Rodrik Avrand
• Avs Pharmacy Inc
• Avs Pharmacy Inc

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Dec 9, 2020; 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.