Organization Active NPI

Life Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1790369361
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE HOSPICE CARE INC.
Practice address
505 N Brand Blvd
Glendale, CA 91203-1906
Phone
(747) 777-5555
NPI assigned
May 10, 2021
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Asdfg Asdfg
Title
Ceo
Phone
(747) 777-5555

Specialties & licenses 1

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

Addresses

Primary practice location

505 N Brand Blvd
Glendale, CA 91203-1906

Mailing address

807 E Wilson Ave Ste 5
Glendale, CA 91206-4457

National Provider Directory

National Provider Directory

Locations

505 N Brand Blvd
Glendale, CA 91203
Phone (747) 777-5555

807 E Wilson Ave
Ste 5
Glendale, CA 91206
Phone (747) 474-1437

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1790369361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E WILSON AVE STE 5",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031906",
            "telephone_number": "747-777-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-05-23",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "ASDFG",
        "authorized_official_first_name": "ASDFG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-777-5555"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.