Organization Active NPI

Medstat Hospice Inc.

  • Community Based Hospice Care Agency
  • Thousand Oaks, CA
National Provider Identifier
1427622471
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 14, 2021

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.