Optimum Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OPTIMUM HOSPICE INC

Practice address

7311 Van Nuys Blvd
Unit 7
Van Nuys, CA 91405-1958

Phone

(818) 459-4950

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Amir Khamathkhanov

Title

Manager

Phone

(818) 666-3194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1528674777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 VAN NUYS BLVD",
            "address_2": "UNIT 7",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051958",
            "telephone_number": "818-459-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 VAN NUYS BLVD",
            "address_2": "UNIT 7",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051958",
            "telephone_number": "818-459-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "KHAMATHKHANOV",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-666-3194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Nov 26, 2024; 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.