Organization Active NPI

Promax Hospice Group

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1861077307
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROMAX HOSPICE GROUP
Practice address
1761 Hotel Cir S Ste 325
San Diego, CA 92108-3318
Phone
(619) 695-2050
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Hmayak Grishchyan
Title
Ceo
Phone
(619) 695-2050

Specialties & licenses 1

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

Addresses

Primary practice location

1761 Hotel Cir S Ste 325
San Diego, CA 92108-3318

Mailing address

1761 Hotel Cir S Ste 325
San Diego, CA 92108-3318
Phone (619) 695-2050

National Provider Directory

National Provider Directory

Locations

1761 Hotel Cir S
Ste 325
San Diego, CA 92108
Phone (619) 695-2050

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1861077307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "619-695-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HOTEL CIR S STE 325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083318",
            "telephone_number": "619-695-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMAX HOSPICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "GRISHCHYAN",
        "authorized_official_first_name": "HMAYAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-695-2050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.