Organization Active NPI

Dedication Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Thousand Oaks, CA
National Provider Identifier
1740882612
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DEDICATION HOSPICE CARE INC.
Practice address
516 Pennsfield PL Ste 206
Thousand Oaks, CA 91360-5575
Phone
(805) 371-7171
Fax
(805) 371-9979
NPI assigned
Nov 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Authorized official

Name
Ms. Iroda Rustamova
Title
Ceo/Administrator
Phone
(805) 371-7171

Specialties & licenses 1

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

Addresses

Primary practice location

516 Pennsfield PL Ste 206
Thousand Oaks, CA 91360-5575

Mailing address

516 Pennsfield PL Ste 206
Thousand Oaks, CA 91360-5575
Phone (805) 371-7171

Care Compare: Hospice

Medicare Care Compare
Listed as
Dedication Hospice Care, Inc.CCN B51644
Certified
Dec 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

516 Pennsfield Pl
Ste 206
Thousand Oaks, CA 91360
Phone (805) 371-7171

NPI Registry JSON

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605312000000",
    "number": "1740882612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PENNSFIELD PL STE 206",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605575",
            "telephone_number": "805-371-7171",
            "fax_number": "805-371-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PENNSFIELD PL STE 206",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605575",
            "telephone_number": "805-371-7171",
            "fax_number": "805-371-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATION HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "RUSTAMOVA",
        "authorized_official_first_name": "IRODA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-371-7171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.