Apple Valley Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

APPLE VALLEY HOSPICE, INC.

Practice address

12241 Industrial Blvd
Ste 201
Victorville, CA 92395-7794

Phone

(760) 981-0690

Fax

(760) 981-0689

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Garnik Gevorgyan

Title

Ceo

Phone

(760) 981-0690

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407226707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 INDUSTRIAL BLVD",
            "address_2": "STE 201",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957794",
            "telephone_number": "760-981-0690",
            "fax_number": "760-981-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 INDUSTRIAL BLVD",
            "address_2": "STE 201",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957794",
            "telephone_number": "760-981-0690",
            "fax_number": "760-981-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE VALLEY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "GARNIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-981-0690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Victorville, CA
• Providers in Victorville, 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 21, 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.