Amethyst Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMETHYST HOSPICE CARE INC.

Practice address

2139 Tapo St Ste 207
Simi Valley, CA 93063-3476

Phone

(805) 261-0139

Fax

(805) 261-0227

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By 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

Rima Abdurashidova, RN

Title

RN/DPCS

Phone

(818) 294-6298

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1740878487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-261-0139",
            "fax_number": "805-261-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TAPO ST STE 207",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633476",
            "telephone_number": "805-261-0139",
            "fax_number": "805-261-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "ABDURASHIDOVA",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "RN/DPCS",
        "authorized_official_telephone_number": "818-294-6298",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOSPICE",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amethysthospice@yahoo.com",
            "affiliation": "N",
            "address_1": "2139 Tapo St Ste 207",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930633476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Jan 7, 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.