Great Life Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREAT LIFE HOSPICE

Practice address

14640 Victory Blvd Ste 213
Van Nuys, CA 91411-4197

Phone

(818) 779-1010

NPI assigned

Aug 12, 2014

Last updated

Jan 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Apollo Jolo Robles Jr.

Title

Ceo

Phone

(818) 779-1010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1891104139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13709 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114197",
            "telephone_number": "818-779-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LIFE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "APOLLO",
        "authorized_official_middle_name": "JOLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-779-1010",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jan 31, 2020; 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.