Provision Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROVISION HOSPICE

Practice address

5311 Topanga Canyon Blvd Unit 308D
Woodland Hills, CA 91364-1754

Phone

(323) 800-6300

Fax

(747) 212-0302

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Sofia Djavadian

Title

Ceo

Phone

(323) 800-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1891379954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD UNIT 308D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "323-800-6300",
            "fax_number": "747-212-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD UNIT 308D",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "323-800-6300",
            "fax_number": "747-212-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "DJAVADIAN",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-800-6300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 May 5, 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.