Active NPI
JML Hospice, Inc.
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1538708987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- JML HOSPICE, INC.
- Practice address
- 6412 Matilija Ave Ste 202
Van Nuys, CA 91401-1576 - Phone
- (818) 387-6011
- Fax
- (818) 475-5143
- NPI assigned
- Jan 2, 2020
- 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
- Yevgenya Petrosyan
- Title
- Owner/ Ceo
- Phone
- (818) 387-6011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6412 Matilija Ave Ste 202
Van Nuys, CA 91401-1576
Mailing address
6412 Matilija Ave Ste 202
Van Nuys, CA 91401-1576
Phone (818) 387-6011
National Provider Directory
National Provider DirectoryLocations
6412 Matilija Ave
Ste 202
Van Nuys, CA 91401
Phone (818) 387-6011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1538708987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6412 MATILIJA AVE STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011576",
"telephone_number": "818-387-6011",
"fax_number": "818-475-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 MATILIJA AVE STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011576",
"telephone_number": "818-387-6011",
"fax_number": "818-475-5143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JML HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-02",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "PETROSYAN",
"authorized_official_first_name": "YEVGENYA",
"authorized_official_title_or_position": "OWNER/ CEO",
"authorized_official_telephone_number": "818-387-6011"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.