Organization Active NPI

Fulfilled Care Hospice Inc

  • Community Based Hospice Care Agency
  • Simi Valley, CA
National Provider Identifier
1467046136
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FULFILLED CARE HOSPICE INC
Practice address
45 W Easy St Ste 2
Simi Valley, CA 93065-1609
Phone
(323) 893-4450
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Ashot Harutyunyan
Title
Owner
Phone
(323) 893-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

45 W Easy St Ste 2
Simi Valley, CA 93065-1609

Mailing address

45 W Easy St Ste 2
Simi Valley, CA 93065-1609
Phone (323) 893-4450

National Provider Directory

National Provider Directory

Locations

45 W Easy St
Ste 2
Simi Valley, CA 93065
Phone (323) 893-4450

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1467046136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W EASY ST STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651609",
            "telephone_number": "323-893-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W EASY ST STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651609",
            "telephone_number": "323-893-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLED CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-893-4450"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.