Organization Active NPI

Vesper Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Northridge, CA
National Provider Identifier
1497090013
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VESPER HEALTHCARE, INC.
Practice address
16909 Parthenia St Ste 102B
Northridge, CA 91343
Phone
(818) 221-3238
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Lee Johnson
Title
Treasurer
Phone
(208) 401-1369

Specialties & licenses 1

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

Addresses

Primary practice location

16909 Parthenia St Ste 102B
Northridge, CA 91343

Mailing address

16909 Parthenia St Ste 102B
Northridge, CA 91343-4583
Phone (818) 221-3238

Other practice location 1

6345 Balboa Blvd Ste 210
Encino, CA 91316-1517
Phone (818) 881-9855

Other names 1

  • Buena Vista Valley Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the seller Bella Terra HospiceCCN 551620, CA, NPI 1679187835

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1497090013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 102B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913434583",
            "telephone_number": "818-221-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 PARTHENIA ST STE 102B",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-221-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6345 Balboa Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913161517",
            "country_code": "US",
            "telephone_number": "818-881-9855",
            "fax_number": "888-553-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VESPER HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vista Valley Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.