Modern Age Hospice, Imc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MODERN AGE HOSPICE, IMC.

Practice address

7100 Hayvenhurst Ave Ste 310
Van Nuys, CA 91406-3811

Phone

(818) 453-3654

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Armen Begoyan

Title

Ceo

Phone

(818) 453-3655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1568032258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HAYVENHURST AVE STE 310",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063811",
            "telephone_number": "818-453-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 HAYVENHURST AVE STE 310",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063811",
            "telephone_number": "818-453-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN AGE HOSPICE, IMC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "BEGOYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-453-3655"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Medics Group LLC
• Briani Mobley
• Francisco Moctezuma Vizcaino
• Azadeh Modaresi, M.D.
• Modern Age Home Health, Inc.
• Modern Day Home Health Care Inc
• Mehdi Amini Moghadam, MID
• Bahman Moghaddas
• Glenda Josefina Moghim, MFTI
• Arash Moghimi, M.D.

• 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 Jun 25, 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.