Medfast Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MEDFAST HOSPICE CARE

Practice address

7430 Coldwater Canyon Ave Ste D
North Hollywood, CA 91605-3501

Phone

(747) 444-6404

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garik Brutyan

Title

Ceo

Phone

(747) 444-6404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1487239851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 COLDWATER CANYON AVE STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053501",
            "telephone_number": "747-444-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 COLDWATER CANYON AVE STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053501",
            "telephone_number": "747-444-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFAST HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "BRUTYAN",
        "authorized_official_first_name": "GARIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-444-6404"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Mar 16, 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.