Fernando Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FERNANDO HOSPICE CARE, LLC

Practice address

14545 Victory Blvd Ste 610
Van Nuys, CA 91411-1620

Phone

(818) 902-0008

Fax

(818) 902-0009

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Felix Kotovets

Title

Ceo

Phone

(310) 926-7974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1699048561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD STE 610",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "818-902-0008",
            "fax_number": "818-902-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD STE 610",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "818-902-0008",
            "fax_number": "818-902-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "KOTOVETS",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-926-7974"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D Ferkel, M.D.
• Mercedes Fernandez Oromendia, PHD
• Elyse Fernandez, MSW
• Raquel Fernandez, LVN
• Stephanie Fernandez
• Angela Sandra Legaspi Fernando, P.T.
• Lisa R. Ferraro, CDS
• Georgia Maria Ferreira, DDS
• Jeffrey Scott Ferrer, RN
• Sabrina Fest

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Nov 2, 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.