Coastal Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COASTAL HOSPICE CARE

Practice address

1010 W Magnolia Blvd
Suite 106
Burbank, CA 91506

Phone

(747) 295-2698

Fax

(818) 859-7259

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Vahe Khachatryan

Title

Ceo

Phone

(747) 295-2698

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1639606908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W MAGNOLIA BLVD",
            "address_2": "SUITE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "747-295-2698",
            "fax_number": "818-859-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W MAGNOLIA BLVD",
            "address_2": "SUITE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "747-295-2698",
            "fax_number": "818-859-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-295-2698",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Burbank, CA
• Providers in Burbank, 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 Jul 25, 2024; 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.