Gaea Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GAEA HOSPICE, INC.

Practice address

23542 Lyons Ave Ste 210
Santa Clarita, CA 91321-5709

Phone

(424) 333-5222

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Tigran Grigoryan

Title

Ceo

Phone

(424) 333-5222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1407438310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23542 LYONS AVE STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215709",
            "telephone_number": "424-333-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23542 LYONS AVE STE 210",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215709",
            "telephone_number": "424-333-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAEA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-333-5222"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Katherine Fuentes, MFT
• Nyesha Fuller
• Morgan Elizabeth Fullerton, MD
• Erica Fyfe, MS, ATC
• Gaea Home Health, Inc.
• Ashot Gafafyan
• Aviel Gaft, DMD
• Benjamin F Gage I, AMFT
• Stacey E Gaitan, LMFT
• Charlotte Elise Gajkowski-Williams

• Community Based Hospice Care Agency in Santa Clarita, CA
• Providers in Santa Clarita, 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 Apr 26, 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.