Organization Active NPI

Tree of Life Hospice Services

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1710516596
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TREE OF LIFE HOSPICE SERVICES
Practice address
1016 E Broadway Ste 301
Glendale, CA 91205-4537
Phone
(818) 568-0194
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Hamazasp Khudoyan
Title
President
Phone
(818) 568-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1016 E Broadway Ste 301
Glendale, CA 91205-4537

Mailing address

1016 E Broadway Ste 301
Glendale, CA 91205-4537

National Provider Directory

National Provider Directory

Locations

1016 E Broadway
Ste 301
Glendale, CA 91205
Phone (818) 568-0194

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1710516596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054537",
            "telephone_number": "818-568-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HOSPICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "KHUDOYAN",
        "authorized_official_first_name": "HAMAZASP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-568-0194"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.