Organization Active NPI

Holy Mountain Hospice

  • Community Based Hospice Care Agency
  • Glendora, CA
National Provider Identifier
1619550431
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOLY MOUNTAIN HOSPICE
Practice address
620 W Route 66 Ste 220B
Glendora, CA 91740-4173
Phone
(818) 588-0265
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Abraham Zakhteryan
Title
Cfo
Phone
(181) 843-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

620 W Route 66 Ste 220B
Glendora, CA 91740-4173

Mailing address

620 W Route 66 Ste 220B
Glendora, CA 91740-4173
Phone (818) 588-0265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1619550431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 220B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-588-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROUTE 66 STE 220B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404173",
            "telephone_number": "818-588-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY MOUNTAIN HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "ZAKHTERYAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "181-843-4414"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.