Commonwealth Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMONWEALTH HOSPICE CARE INC

Practice address

6314 Van Nuys Blvd Ste 206
Van Nuys, CA 91401-2625

Phone

(747) 300-0824

Fax

(747) 300-0854

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Seryozha Sergo Khrayan

Title

Ceo

Phone

(747) 300-0824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1669047759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "747-300-0824",
            "fax_number": "747-300-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 VAN NUYS BLVD STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012625",
            "telephone_number": "747-300-0824",
            "fax_number": "747-300-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "KHRAYAN",
        "authorized_official_first_name": "SERYOZHA",
        "authorized_official_middle_name": "SERGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-0824"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Keepers Board and Care Inc.
• Comfort Life Medical Supply, LLC
• Comfort Nursing Care Hospice, Inc.
• Comfort Touch Home Health
• Comfortzone Hospice Inc
• Community Adult Home Health Care Inc
• Community Alcohol & Drug Founcation
• Community Alcohol & Drug Foundation
• Community Alcohol & Drug Treatment
• Community Alcohol and Drug Treatment Foundation

• 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 May 21, 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.