Organization Active NPI

Medlight Hospice Inc.

  • Community Based Hospice Care Agency
  • Encino, CA
National Provider Identifier
1689226599
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MEDLIGHT HOSPICE INC.
Practice address
17327 Ventura Blvd Ste 320
Encino, CA 91316-4901
Phone
(747) 212-1234
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Aram Hakobyan
Title
Ceo
Phone
(747) 212-1234

Specialties & licenses 1

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

Addresses

Primary practice location

17327 Ventura Blvd Ste 320
Encino, CA 91316-4901

Mailing address

17327 Ventura Blvd Ste 320
Encino, CA 91316-4901
Phone (747) 212-1234

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

National Provider Directory

National Provider Directory

Locations

17327 Ventura Blvd
Ste B320
Encino, CA 91316
Phone (747) 212-1234

17327 Ventura Blvd
Ste 320
Encino, CA 91316
Phone (747) 212-1234

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1689226599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 VENTURA BLVD STE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164901",
            "telephone_number": "747-212-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 VENTURA BLVD STE 320",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164901",
            "telephone_number": "747-212-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIGHT HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-212-1234"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.