Organization Active NPI

Galaxy Palliative Care

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1497323372
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GALAXY PALLIATIVE CARE
Practice address
7340 Ethel Ave Ste 103
North Hollywood, CA 91605-4216
Phone
(747) 724-9267
Fax
(951) 346-3463
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Azatui Zetilyan
Title
Ceo
Phone
(747) 724-9267

Specialties & licenses 1

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

Addresses

Primary practice location

7340 Ethel Ave Ste 103
North Hollywood, CA 91605-4216

Mailing address

7340 Ethel Ave Ste 103
North Hollywood, CA 91605-4216
Phone (747) 724-9267

National Provider Directory

National Provider Directory

Locations

7340 Ethel Ave
Ste 103
North Hollywood, CA 91605
Phone (747) 724-9267

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1497323372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 ETHEL AVE STE 103",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054216",
            "telephone_number": "747-724-9267",
            "fax_number": "951-346-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 ETHEL AVE STE 103",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054216",
            "telephone_number": "747-724-9267",
            "fax_number": "951-346-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "ZETILYAN",
        "authorized_official_first_name": "AZATUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-724-9267"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

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