Active NPI
Pro Hospice Agency, Inc
Doing business as Pro Hospice Agency
- Community Based Hospice Care Agency
- Fresno, CA
National Provider Identifier
1427325802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PRO HOSPICE AGENCY, INC
- Doing business as
- Pro Hospice Agency
- Practice address
- 1665 W Shaw Ave
Suite 106
Fresno, CA 93711-3508 - Phone
- (559) 435-9991
- NPI assigned
- Nov 29, 2011
- Last updated
- Jan 10, 2020
- 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
- Ripsime Danielyan
- Title
- Ceo
- Phone
- (559) 435-9991
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary | |
| Inpatient Hospice | 315D00000X | 550002572 | CA |
Addresses
Primary practice location
1665 W Shaw Ave
Suite 106
Fresno, CA 93711-3508
Mailing address
1665 W Shaw Ave
Suite 106
Fresno, CA 93711-3508
Phone (559) 435-9991
Other names 1
- Pro Hospice Agency
National Provider Directory
National Provider DirectoryLocations
1665 W Shaw Ave
Ste 106
Fresno, CA 93711
Phone (559) 435-9991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1427325802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 W SHAW AVE",
"address_2": "SUITE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113508",
"telephone_number": "559-435-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 W SHAW AVE",
"address_2": "SUITE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113508",
"telephone_number": "559-435-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO HOSPICE AGENCY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-29",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "DANIELYAN",
"authorized_official_first_name": "RIPSIME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-435-9991"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "CA",
"license": "550002572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pro Hospice Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pro Hospice Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.