Organization Active NPI

Calabasas Care Hospice Inc.

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
National Provider Identifier
1407380256
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CALABASAS CARE HOSPICE INC.
Practice address
22949 Ventura Blvd
Suite F
Woodland Hills, CA 91364-1245
Phone
(818) 397-0440
Fax
(818) 450-0503
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Faribors Ettileiy
Title
Ceo
Phone
(818) 397-0440

Specialties & licenses 1

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

Addresses

Primary practice location

22949 Ventura Blvd
Suite F
Woodland Hills, CA 91364-1245

Mailing address

22949 Ventura Blvd
Suite F
Woodland Hills, CA 91364-1245
Phone (818) 397-0440

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2136677Calabasas Care Hospice Inc.22949 Ventura Blvd Ste F, Woodland Hills, CA 91364Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory

Locations

22949 Ventura Blvd
Ste F
Woodland Hills, CA 91364
Phone (818) 397-0440

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1407380256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD",
            "address_2": "SUITE F",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641245",
            "telephone_number": "818-397-0440",
            "fax_number": "818-450-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22949 VENTURA BLVD",
            "address_2": "SUITE F",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641245",
            "telephone_number": "818-397-0440",
            "fax_number": "818-450-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALABASAS CARE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "ETTILEIY",
        "authorized_official_first_name": "FARIBORS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-397-0440"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.