Organization Active NPI

Sweet Angeles Hospice Care

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1689258402
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SWEET ANGELES HOSPICE CARE
Practice address
1522 W Glenoaks Blvd Ste H
Glendale, CA 91201-1913
Phone
(424) 444-0440
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Khachatur Derdzakyan
Title
Ceo
Phone
(424) 444-0440

Specialties & licenses 1

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

Addresses

Primary practice location

1522 W Glenoaks Blvd Ste H
Glendale, CA 91201-1913

Mailing address

1522 W Glenoaks Blvd Ste H
Glendale, CA 91201-1913
Phone (424) 444-0440

National Provider Directory

National Provider Directory

Locations

1522 W Glenoaks Blvd
Ste H
Glendale, CA 91201
Phone (424) 444-0440

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1689258402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD STE H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "424-444-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W GLENOAKS BLVD STE H",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011913",
            "telephone_number": "424-444-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET ANGELES HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "DERDZAKYAN",
        "authorized_official_first_name": "KHACHATUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-444-0440"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.