Life Roots Hospice Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE ROOTS HOSPICE CARE, INC

Practice address

6410 Van Nuys Blvd Ste F203
Van Nuys, CA 91401-6263

Phone

(747) 666-0642

NPI assigned

Feb 17, 2021

Last updated

Oct 26, 2022By 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

Ashkhen Atoyan

Title

Ceo

Phone

(747) 666-0642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1386237725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 VAN NUYS BLVD STE F203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016263",
            "telephone_number": "747-666-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 VAN NUYS BLVD STE F203",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016263",
            "telephone_number": "747-666-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ROOTS HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ATOYAN",
        "authorized_official_first_name": "ASHKHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-666-0642"
    },
    "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
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.