Amida Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550001043 Issued in CA

Legal business name

AMIDA HOSPICE CARE INC

Practice address

18302 Sierra Hwy
Suite 101
Canyon Country, CA 91351-3092

Phone

(661) 424-9159

Fax

(661) 424-9672

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sargis Agazaryan

Title

Ceo

Phone

(661) 424-9159

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dina Agazaryan, FNP

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1376829747
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1932399409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 SIERRA HWY",
            "address_2": "SUITE 101",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513092",
            "telephone_number": "661-424-9159",
            "fax_number": "661-424-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 SIERRA HWY",
            "address_2": "SUITE 101",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513092",
            "telephone_number": "661-424-9159",
            "fax_number": "661-424-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIDA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "AGAZARYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-424-9159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Canyon Country, CA
• Providers in Canyon Country, 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 Jun 11, 2010; 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.