Organization Active NPI

Pure Hospice, Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1891102174
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PURE HOSPICE, INC.
Practice address
12011 Victory Blvd
Ste 204
North Hollywood, CA 91606-3330
Phone
(818) 985-0021
Fax
(818) 995-0022
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Karen Manukyan
Title
Ceo
Phone
(818) 985-0021

Specialties & licenses 1

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

Addresses

Primary practice location

12011 Victory Blvd
Ste 204
North Hollywood, CA 91606-3330

Mailing address

12011 Victory Blvd
Ste 204
North Hollywood, CA 91606-3330
Phone (818) 985-0021

Care Compare: Hospice

Medicare Care Compare
Listed as
Pure Hospice, IncCCN A01557
Ownership
For-Profit
Certified
Oct 31, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

12011 Victory Blvd
Ste 204
North Hollywood, CA 91606
Phone (818) 769-5518

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1891102174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD",
            "address_2": "STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-985-0021",
            "fax_number": "818-995-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD",
            "address_2": "STE 204",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-985-0021",
            "fax_number": "818-995-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-985-0021"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.