Community Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY CARE HOSPICE INC

Practice address

151 N 3Rd Ave Ste 202a
Pocatello, ID 83201-6368

Phone

(206) 606-3632

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Hranush Keshish Ghukasyan

Title

Owner

Phone

(208) 606-3632

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1497445522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N 3RD AVE STE 202A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N 3RD AVE STE 202A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016368",
            "telephone_number": "206-606-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "KESHISH GHUKASYAN",
        "authorized_official_first_name": "HRANUSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-606-3632"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Colman, LPC, AADC
• Heidi Colson, RN
• Elizabeth Christine Combs, DNP FNP
• Comfort Care Dental
• Brandon Dean Comish, MD
• Community Care Pocatello PLLC
• Community Care, PLLC
• Community Mental Health
• Community Mental Health Services
• Community Mental Health Services

• Community Based Hospice Care Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.