Organization Active NPI

Avme Hospice Care

  • Community Based Hospice Care Agency
  • Reseda, CA
National Provider Identifier
1740849538
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVME HOSPICE CARE
Practice address
18747 Sherman Way Ste 106
Reseda, CA 91335-4000
Phone
(747) 267-7177
NPI assigned
Jun 6, 2019
Last updated
Jun 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Alis Penesyan
Title
Ceo
Phone
(747) 267-7177

Specialties & licenses 1

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

Addresses

Primary practice location

18747 Sherman Way Ste 106
Reseda, CA 91335-4000

Mailing address

18747 Sherman Way Ste 106
Reseda, CA 91335-4000
Phone (747) 267-7177

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1740849538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 106",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "747-267-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 106",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "747-267-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVME HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "PENESYAN",
        "authorized_official_first_name": "ALIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-267-7177"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.