First Eagle Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRST EAGLE HOSPICE INC

Practice address

13615 Victory Blvd Ste 119
Van Nuys, CA 91401-1778

Phone

(818) 446-2576

Fax

(818) 450-1474

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Noemi Demirchian

Title

Ceo

Phone

(818) 446-2576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1609348382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 119",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011778",
            "telephone_number": "818-446-2576",
            "fax_number": "818-450-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 119",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011778",
            "telephone_number": "818-446-2576",
            "fax_number": "818-450-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST EAGLE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "DEMIRCHIAN",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-446-2576"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 19, 2018; 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.