Visiting Angel Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VISITING ANGEL HOSPICE, INC.

Practice address

4717 Van Nuys Blvd PH 1
Sherman Oaks, CA 91403-2100

Phone

(818) 846-6300

Fax

(818) 846-6300

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Amee Armina Gregg

Title

Ceo/ Administrator

Phone

(818) 846-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921657

Legal name

VISITING ANGEL HOSPICE INC

Doing business as

VISITING ANGEL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 16, 2016

Last certification

Feb 27, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 3, 2013 in CA

Enrollment address

539 N Glenoaks Blvd
Ste 307
Burbank, CA 91502-3213

Listed as

Visiting Angels Hospice, IncCCN 921657

Ownership

For-Profit

Certified

Mar 16, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1699101816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD PH 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032100",
            "telephone_number": "818-846-6300",
            "fax_number": "818-846-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD PH 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032100",
            "telephone_number": "818-846-6300",
            "fax_number": "818-846-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANGEL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "AMEE",
        "authorized_official_middle_name": "ARMINA",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "818-846-6300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.