Organization Active NPI

Pro Hospice Agency, Inc

Doing business as Pro Hospice Agency

  • Community Based Hospice Care Agency
  • Fresno, CA
National Provider Identifier
1427325802
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.