Active NPI
Vesper Healthcare, Inc.
- Community Based Hospice Care Agency
- Northridge, CA
National Provider Identifier
1497090013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2020 | Change of Ownership | Bella Terra Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Moreno Valley, CA
- NPI 1679187835
Sold to, 2020-10-01
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.