Organization Active NPI

Golden Life Hospice Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1902460041
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN LIFE HOSPICE INC
Practice address
12011 Victory Blvd # 207
North Hollywood, CA 91606-3330
Phone
(818) 358-2189
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Narek Petrosyan
Title
Ceo
Phone
(818) 358-2189

Specialties & licenses 1

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

Addresses

Primary practice location

12011 Victory Blvd # 207
North Hollywood, CA 91606-3330

Mailing address

12011 Victory Blvd # 207
North Hollywood, CA 91606-3330
Phone (818) 358-2189

National Provider Directory

National Provider Directory

Locations

12011 Victory Blvd
Ste 207
North Hollywood, CA 91606
Phone (818) 358-2189

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1902460041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD # 207",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-358-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 VICTORY BLVD # 207",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063330",
            "telephone_number": "818-358-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-358-2189"
    },
    "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 Feb 22, 2023; 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.