Organization Active NPI

Acacia Hospice Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1891365045
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ACACIA HOSPICE INC
Practice address
12444 Victory Blvd Ste 301-W2
North Hollywood, CA 91606-3199
Phone
(747) 313-6588
Fax
(747) 297-5410
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Gohar Artemyan
Title
Ceo
Phone
(747) 313-6588

Specialties & licenses 1

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

Addresses

Primary practice location

12444 Victory Blvd Ste 301-W2
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 301-W2
North Hollywood, CA 91606-3199
Phone (747) 313-6588

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 301W2
North Hollywood, CA 91606
Phone (747) 313-6588

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1891365045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 301-W2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-313-6588",
            "fax_number": "747-297-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 301-W2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-313-6588",
            "fax_number": "747-297-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "ARTEMYAN",
        "authorized_official_first_name": "GOHAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-313-6588"
    },
    "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 Jun 29, 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.