Prime Health Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME HEALTH HOSPICE, INC.

Practice address

30941 Agoura Rd Ste 110
Westlake Village, CA 91361-4645

Phone

(818) 962-0750

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Matevos Keleshian

Title

Ceo

Phone

(818) 962-0750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1801474341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614645",
            "telephone_number": "818-962-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30941 AGOURA RD STE 110",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614645",
            "telephone_number": "818-962-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "KELESHIAN",
        "authorized_official_first_name": "MATEVOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-962-0750"
    },
    "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 Westlake Village, CA
• Providers in Westlake Village, 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 Mar 29, 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.