Active NPI
Pure Hospice, Inc.
- Community Based Hospice Care Agency
- North Hollywood, CA
National Provider Identifier
1891102174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, Inc
- Ownership
- For-Profit
- Certified
- Oct 31, 2018
- Medicare certification status
- Active
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 DirectoryLocations
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.