Organization Active NPI

Kansidor Healthcare Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1396414561
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KANSIDOR HEALTHCARE INC
Practice address
3151 Cahuenga Blvd W Ste 305
Los Angeles, CA 90068-1768
Phone
(747) 215-3198
NPI assigned
Sep 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Inga McCollum
Title
Ceo, Owner
Phone
(747) 215-3198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3151 Cahuenga Blvd W Ste 305
Los Angeles, CA 90068-1768

Mailing address

3151 Cahuenga Blvd W Ste 305
Los Angeles, CA 90068-1768
Phone (747) 215-3198

National Provider Directory

National Provider Directory

Locations

3151 Cahuenga Blvd W
Ste 305
Los Angeles, CA 90068
Phone (323) 380-7445

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1396414561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681768",
            "telephone_number": "747-215-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681768",
            "telephone_number": "747-215-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSIDOR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "747-215-3198"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.