Active NPI
Calabasas Care Hospice Inc.
- Community Based Hospice Care Agency
- Woodland Hills, CA
National Provider Identifier
1407380256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2136677 | Calabasas Care Hospice Inc. | Certificate of waiver | Sep 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.