Active NPI
Lira Hospice, Inc.
- Community Based Hospice Care Agency
- Los Angeles, CA
National Provider Identifier
1659669562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LIRA HOSPICE, INC.
- Practice address
- 6222 Wilshire Blvd Ste 230
Los Angeles, CA 90048-5130 - Phone
- (323) 965-2263
- Fax
- (323) 655-8502
- NPI assigned
- Jul 12, 2011
- Last updated
- Dec 16, 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
- David Wittenberg
- Title
- Administrator
- Phone
- (323) 965-2263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
6222 Wilshire Blvd Ste 230
Los Angeles, CA 90048-5130
Mailing address
6222 Wilshire Blvd Ste 230
Los Angeles, CA 90048-5130
Phone (323) 965-2263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659669562 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
6222 Wilshire Blvd
Ste 225
Los Angeles, CA 90048
Phone (323) 965-2263
8111 Beverly Blvd
Ste 210
Los Angeles, CA 90048
Phone (323) 655-8500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1659669562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 WILSHIRE BLVD STE 230",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485130",
"telephone_number": "323-965-2263",
"fax_number": "323-965-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 WILSHIRE BLVD STE 230",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485130",
"telephone_number": "323-965-2263",
"fax_number": "323-655-8502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIRA HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "WITTENBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-965-2263"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659669562",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.