St Jacob Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST JACOB HOSPICE INC

Practice address

17042 Devonshire St
Suite 209
Northridge, CA 91325-1674

Phone

(818) 368-9995

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Anahit Khrimian, OWNER

Title

Owner

Phone

(818) 368-9995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1699815530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17042 DEVONSHIRE ST",
            "address_2": "#209",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17042 DEVONSHIRE ST",
            "address_2": "SUITE 209",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251674",
            "telephone_number": "818-368-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JACOB HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KHRIMIAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-368-9995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Northridge, CA
• Providers in Northridge, 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 Apr 29, 2008; 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.