Organization Active NPI

Medpro Hospice, Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1912291709
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550001916 Issued in CA
Legal business name
MEDPRO HOSPICE, INC.
Practice address
11755 Victory Blvd Ste 205
North Hollywood, CA 91606-3456
Phone
(818) 761-6699
Fax
(818) 761-6656
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Grigor Arutyunyan
Title
President
Phone
(818) 761-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550001916 CA Primary

Addresses

Primary practice location

11755 Victory Blvd Ste 205
North Hollywood, CA 91606-3456

Mailing address

11755 Victory Blvd Ste 205
North Hollywood, CA 91606-3456
Phone (818) 761-6699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1912291709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063456",
            "telephone_number": "818-761-6699",
            "fax_number": "818-761-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063456",
            "telephone_number": "818-761-6699",
            "fax_number": "818-761-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "ARUTYUNYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-761-6699"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001916",
            "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 11, 2015; 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.