Organization Active NPI

Forever Hospice Care Inc

  • Community Based Hospice Care Agency
  • Reseda, CA
National Provider Identifier
1932864592
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FOREVER HOSPICE CARE INC
Practice address
18747 Sherman Way Ste 211
Reseda, CA 91335-4000
Phone
(818) 481-3945
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Susan Repollo
Title
Ceo
Phone
(818) 481-3945

Specialties & licenses 1

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

Addresses

Primary practice location

18747 Sherman Way Ste 211
Reseda, CA 91335-4000

Mailing address

18747 Sherman Way Ste 211
Reseda, CA 91335-4000
Phone (818) 481-3945

National Provider Directory

National Provider Directory

Locations

18747 Sherman Way
Ste 211
Reseda, CA 91335
Phone (818) 481-3945

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1932864592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "818-481-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 SHERMAN WAY STE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354000",
            "telephone_number": "818-481-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "REPOLLO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-481-3945"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

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