Organization Active NPI

Fill Heart Hospice Inc.

  • Community Based Hospice Care Agency
  • Canoga Park, CA
National Provider Identifier
1932797685
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FILL HEART HOSPICE INC.
Practice address
20944 Sherman Way Ste 201
Canoga Park, CA 91303-3634
Phone
(949) 324-8363
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Prince Robel Garcia
Title
Ceo
Phone
(949) 324-8363

Specialties & licenses 1

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

Addresses

Primary practice location

20944 Sherman Way Ste 201
Canoga Park, CA 91303-3634

Mailing address

20944 Sherman Way Ste 201
Canoga Park, CA 91303-3634
Phone (949) 324-8363

National Provider Directory

National Provider Directory

Locations

20944 Sherman Way
Ste 201
Canoga Park, CA 91303
Phone (949) 324-8363

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1932797685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033634",
            "telephone_number": "949-324-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033634",
            "telephone_number": "949-324-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILL HEART HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "ROBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-324-8363"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.