Organization Active NPI

Luna Palliative Care and Hospice, Inc

  • Community Based Hospice Care Agency
  • Palm Desert, CA
National Provider Identifier
1972177467
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LUNA PALLIATIVE CARE AND HOSPICE, INC
Practice address
72670 Fred Waring Dr Ste C-203
Palm Desert, CA 92260-5011
Phone
(760) 259-2858
Fax
(323) 375-3240
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Maksim Labutin
Title
Ceo
Phone
(760) 259-2858

Specialties & licenses 1

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

Addresses

Primary practice location

72670 Fred Waring Dr Ste C-203
Palm Desert, CA 92260-5011

Mailing address

72670 Fred Waring Dr Ste C-203
Palm Desert, CA 92260-5011
Phone (760) 259-2858

National Provider Directory

National Provider Directory

Locations

72670 Fred Waring Dr
Ste C203
Palm Desert, CA 92260
Phone (760) 259-2858

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1972177467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72670 FRED WARING DR STE C-203",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605011",
            "telephone_number": "760-259-2858",
            "fax_number": "323-375-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72670 FRED WARING DR STE C-203",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605011",
            "telephone_number": "760-259-2858",
            "fax_number": "323-375-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA PALLIATIVE CARE AND HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "LABUTIN",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-259-2858"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.