Arclight Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ARCLIGHT HOSPICE, INC.

Practice address

19562 Ventura Blvd Ste 229
Tarzana, CA 91356-7126

Phone

(747) 777-9545

Fax

(747) 777-9546

NPI assigned

Dec 2, 2015

Last updated

May 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Artur Khalatyan

Title

Ceo

Phone

(747) 777-9545

Specialties & licenses 1

Addresses

Listed as

Arclight Hospice, IncCCN A01758

Ownership

For-Profit

Certified

Mar 12, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1689049678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 229",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913567126",
            "telephone_number": "747-777-9545",
            "fax_number": "747-777-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19562 VENTURA BLVD STE 229",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913567126",
            "telephone_number": "747-777-9545",
            "fax_number": "747-777-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCLIGHT HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "KHALATYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-9545"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Tarzana, CA
• Providers in Tarzana, 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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.