Omni Hospice Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OMNI HOSPICE SERVICES

Practice address

8001 Laurel Canyon Blvd Ste 209
North Hollywood, CA 91605-1466

Phone

(818) 962-3373

NPI assigned

Jun 10, 2020

Last updated

Dec 13, 2023By 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

Nanuli Jintcharashvili

Title

Ceo

Phone

(818) 962-3373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1790300200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 LAUREL CANYON BLVD STE 209",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051466",
            "telephone_number": "818-962-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LAUREL CANYON BLVD STE 209",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051466",
            "telephone_number": "818-962-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HOSPICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "JINTCHARASHVILI",
        "authorized_official_first_name": "NANULI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-962-3373"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "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 Dec 13, 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.