Vital Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VITAL HOSPICE CARE INC

Practice address

1280 W Lambert Rd Ste C2
Brea, CA 92821-2821

Phone

(818) 423-2230

Fax

(818) 980-2239

NPI assigned

May 15, 2015

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kourosh Shirazi

Title

Ceo

Phone

(818) 423-2230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1720466204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W LAMBERT RD STE C2",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212821",
            "telephone_number": "818-423-2230",
            "fax_number": "818-980-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W LAMBERT RD STE C2",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212821",
            "telephone_number": "818-423-2230",
            "fax_number": "818-980-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 E Holt Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917912310",
            "country_code": "US",
            "telephone_number": "818-423-2230",
            "fax_number": "818-980-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SHIRAZI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-423-2230"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 Jan 10, 2024; 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.