NPIMap

Organization Active NPI

American Geriatric Hospice Inc

  • Community Based Hospice Care Agency
  • Canoga Park, CA
National Provider Identifier
1689264186
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERICAN GERIATRIC HOSPICE INC
Practice address
7301 Topanga Canyon Blvd Ste 359
Canoga Park, CA 91303-3395
Phone
(661) 480-4063
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Marillyn Bahamon, LVNNPI 1093255085
Title
Ceo
Phone
(661) 480-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7301 Topanga Canyon Blvd Ste 359
Canoga Park, CA 91303-3395

Mailing address

7301 Topanga Canyon Blvd Ste 359
Canoga Park, CA 91303-3395
Phone (661) 480-4063

National Provider Directory

National Provider Directory

Locations

7301 Topanga Canyon Blvd
Ste 359
Canoga Park, CA 91303
Phone (661) 480-4063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1689264186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 359",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "661-480-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 359",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "661-480-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN GERIATRIC HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "BAHAMON",
        "authorized_official_first_name": "MARILLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-480-4063",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.