St. Luke'S Hospice Agency

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

Legal business name

ST. LUKE'S HOSPICE AGENCY

Practice address

14545 Friar St Ste 322-1
Van Nuys, CA 91411-2397

Phone

(818) 426-7730

Fax

(747) 264-1436

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Arlene V. Roque, LVN

Title

Ceo/Cfo/Sec/Owner

Phone

(818) 426-7730

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1710643986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 322-1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-426-7730",
            "fax_number": "747-264-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 322-1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-426-7730",
            "fax_number": "747-264-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "CEO/CFO/SEC/OWNER",
        "authorized_official_telephone_number": "818-426-7730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ar322_1@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "electronic interchange of information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Ar322_1@yahoo.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14545 Friar St Ste 322-1",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hospice Registered Nurse in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Hospice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.