Admiral Hospice Health Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADMIRAL HOSPICE HEALTH CARE, INC.

Practice address

4010 Watson Plaza Drive
Suite 120
Lakewood, CA 90712-4035

Phone

(562) 429-1500

Fax

(562) 429-1599

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Kamran Jahangard Mahboob

Title

Pres/Ceo

Phone

(818) 652-8297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1760262117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DRIVE",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124035",
            "telephone_number": "562-429-1500",
            "fax_number": "562-429-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DRIVE",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124035",
            "telephone_number": "562-429-1500",
            "fax_number": "562-429-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL HOSPICE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "JAHANGARD MAHBOOB",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "818-652-8297"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Lakewood, CA
• Providers in Lakewood, 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 Oct 3, 2023; 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.