Active NPI
Golden Road Hospice,Inc.
- Community Based Hospice Care Agency
- North Hollywood, CA
National Provider Identifier
1699365189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GOLDEN ROAD HOSPICE,INC.
- Practice address
- 11490 Burbank Blvd Ste 2D
North Hollywood, CA 91601-2392 - Phone
- (818) 579-4281
- NPI assigned
- Jan 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jettro Valdizno
- Title
- Ceo
- Phone
- (818) 579-4281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11490 Burbank Blvd Ste 2D
North Hollywood, CA 91601-2392
Mailing address
11490 Burbank Blvd Ste 2D
North Hollywood, CA 91601-2392
Phone (818) 579-4281
Care Compare: Hospice
Medicare Care Compare- Listed as
- Golden Road Hospice, Inc.
- Certified
- Nov 30, 2022
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
11490 Burbank Blvd
Ste 2D
North Hollywood, CA 91601
Phone (818) 579-4281
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": "1699365189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11490 BURBANK BLVD STE 2D",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012392",
"telephone_number": "818-579-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11490 BURBANK BLVD STE 2D",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012392",
"telephone_number": "818-579-4281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN ROAD 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": "VALDIZNO",
"authorized_official_first_name": "JETTRO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-579-4281"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, 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.
- 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.