Active NPI
Medstat Hospice Inc.
- Community Based Hospice Care Agency
- Thousand Oaks, CA
National Provider Identifier
1427622471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MEDSTAT HOSPICE INC.
- Doing business as
- Medstat Hospice Inc.
- Practice address
- 100 E Thousand Oaks Blvd Ste 110
Thousand Oaks, CA 91360-8120 - Phone
- (818) 516-8066
- NPI assigned
- May 14, 2021
- 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
- Mr. Gregorio De Grano
- Title
- Ceo
- Phone
- (818) 516-8066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
100 E Thousand Oaks Blvd Ste 110
Thousand Oaks, CA 91360-8120
Mailing address
100 E Thousand Oaks Blvd Ste 110
Thousand Oaks, CA 91360-8120
Phone (818) 516-8066
Other names 1
- Medstat Hospice Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1427622471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E THOUSAND OAKS BLVD STE 110",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913608120",
"telephone_number": "818-516-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E THOUSAND OAKS BLVD STE 110",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913608120",
"telephone_number": "818-516-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTAT HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "DE GRANO",
"authorized_official_first_name": "GREGORIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-516-8066",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medstat Hospice Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.