The Village Manor Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

THE VILLAGE MANOR HOSPICE

Practice address

3860 Crenshaw Blvd
Ste 219a
Los Angeles, CA 90008-1816

Phone

(323) 299-9499

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Ann Booker, LISW

Title

Administrator

Phone

(323) 299-9499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Ventures Doing business as

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689650558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CRENSHAW BLVD",
            "address_2": "STE 219A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081816",
            "telephone_number": "323-299-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 CRENSHAW BLVD",
            "address_2": "STE 219A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081816",
            "telephone_number": "323-299-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE MANOR HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-299-9499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC017047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Ventures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Urgent Care at Vermont
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• The Vidal Womans Medical Clinic Inc.
• The View, LLC
• The Village Health Foundation Inc
• The Village Mental Health Group Therapy and Family Counseling Corp
• The Visionary Group, Inc.
• The Wall Las Memorias
• The Well-Being Alliance
• The Wellness Arts Collective Marriage & Family Therapy Corporation

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 2020; 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.