Active NPI
Hospice of Prime Service Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1568040152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE OF PRIME SERVICE INC
- Practice address
- 7311 Van Nuys Blvd Unit 19
Van Nuys, CA 91405-1999 - Phone
- (747) 282-0470
- NPI assigned
- Apr 1, 2021
- 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
- Sergey Ghevondyan
- Title
- Ceo
- Phone
- (747) 282-0470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
7311 Van Nuys Blvd Unit 19
Van Nuys, CA 91405-1999
Mailing address
7311 Van Nuys Blvd Unit 19
Van Nuys, CA 91405-1999
Phone (747) 282-0470
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617235200000",
"number": "1568040152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7311 VAN NUYS BLVD UNIT 19",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051999",
"telephone_number": "747-282-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7311 VAN NUYS BLVD UNIT 19",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051999",
"telephone_number": "747-282-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF PRIME SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A",
"authorized_official_last_name": "GHEVONDYAN",
"authorized_official_first_name": "SERGEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-282-0470"
},
"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 Apr 1, 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.