NPIMap

Organization Active NPI

Hollywood Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1902206162
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOLLYWOOD HOSPICE CARE, INC.
Practice address
13615 Victory Blvd
Unit 120
Van Nuys, CA 91401-1737
Phone
(818) 779-7706
Fax
(818) 779-7714
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Carmen Cordero
Title
Contact Person
Phone
(323) 828-5658

Specialties & licenses 1

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

Addresses

Primary practice location

13615 Victory Blvd
Unit 120
Van Nuys, CA 91401-1737

Mailing address

13615 Victory Blvd
Unit 120
Van Nuys, CA 91401-1737
Phone (818) 779-7706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1902206162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD",
            "address_2": "UNIT 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011737",
            "telephone_number": "818-779-7706",
            "fax_number": "818-779-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD",
            "address_2": "UNIT 120",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011737",
            "telephone_number": "818-779-7706",
            "fax_number": "818-779-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "323-828-5658"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.