Active NPI
MD Care Hospice Inc
- Community Based Hospice Care Agency
- Tampa, FL
National Provider Identifier
1568053122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MD CARE HOSPICE INC
- Practice address
- 4830 W Kennedy Blvd Ste 637
Tampa, FL 33609-2564 - Phone
- (323) 552-3300
- NPI assigned
- Jan 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
- Marine Khachatryan
- Title
- Manager
- Phone
- (323) 552-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4830 W Kennedy Blvd Ste 637
Tampa, FL 33609-2564
Mailing address
4830 W Kennedy Blvd Ste 637
Tampa, FL 33609-2564
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1568053122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 W KENNEDY BLVD STE 637",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 W KENNEDY BLVD STE 637",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092564",
"telephone_number": "323-552-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD CARE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "KHACHATRYAN",
"authorized_official_first_name": "MARINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-552-3300"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.