Vida Hospice and Palliative Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIDA HOSPICE AND PALLIATIVE CARE, INC

Practice address

4225 Valley Fair St Ste 201B
Simi Valley, CA 93063-2955

Phone

(805) 387-2008

Fax

(805) 206-3005

NPI assigned

May 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mariam Danielyan

Title

Ceo

Phone

(805) 387-2008

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1447834130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST STE 201B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632955",
            "telephone_number": "805-387-2008",
            "fax_number": "805-206-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST STE 201B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632955",
            "telephone_number": "805-387-2008",
            "fax_number": "805-206-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA HOSPICE AND PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-387-2008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vidacare22@gmail.com",
            "affiliation": "N",
            "address_1": "4225 Valley Fair St Ste 201B",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930632955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 May 8, 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.