Organization Active NPI

MD Care Hospice Inc

  • Community Based Hospice Care Agency
  • Tampa, FL
National Provider Identifier
1568053122
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jan 25, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.