Active NPI
Valley Friendly Hospice Corp
- Community Based Hospice Care Agency
- N Hollywood, CA
National Provider Identifier
1568044683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VALLEY FRIENDLY HOSPICE CORP
- Practice address
- 6032 Vineland Ave
N Hollywood, CA 91606-4912 - Phone
- (424) 200-0143
- NPI assigned
- Apr 27, 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
- Vyacheslav Davtian
- Title
- Manager
- Phone
- (424) 200-0143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6032 Vineland Ave
N Hollywood, CA 91606-4912
Mailing address
6032 Vineland Ave
N Hollywood, CA 91606-4912
Phone (424) 200-0143
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1568044683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6032 VINELAND AVE",
"city": "N HOLLYWOOD",
"state": "CA",
"postal_code": "916064912",
"telephone_number": "424-200-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6032 VINELAND AVE",
"city": "N HOLLYWOOD",
"state": "CA",
"postal_code": "916064912",
"telephone_number": "424-200-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY FRIENDLY HOSPICE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "DAVTIAN",
"authorized_official_first_name": "VYACHESLAV",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "424-200-0143"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.