Life Tree Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE TREE HOSPICE INC

Practice address

17779 Ventura Blvd # 202
Encino, CA 91316-3717

Phone

(818) 654-8366

Fax

(818) 654-8767

NPI assigned

Oct 16, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Taron Serobyan

Title

Administrator-Designee

Phone

(818) 271-9299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1821564956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17779 VENTURA BLVD # 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-654-8366",
            "fax_number": "818-654-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17779 VENTURA BLVD # 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-654-8366",
            "fax_number": "818-654-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "SEROBYAN",
        "authorized_official_first_name": "TARON",
        "authorized_official_title_or_position": "ADMINISTRATOR-DESIGNEE",
        "authorized_official_telephone_number": "818-271-9299",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Encino, CA
• Providers in Encino, 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 16, 2018; 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.