ULTRA STAR HOSPICE INC. NPI 1134705296

NPI Information

NPI: 1134705296
Provider Name: ULTRA STAR HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
12501 CHANDLER BLVD STE 105A
VALLEY VILLAGE, CA
ZIP 91607
Phone: (818) 464-7079
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ULTRA STAR HOSPICE, INC. is a hospice care community based in Valley Village, CA. ULTRA STAR HOSPICE, INC. NPI is 1134705296. The provider is registered as an organization entity type.

The provider's business location address is:

12501 CHANDLER BLVD STE 105A
VALLEY VILLAGE, CA
ZIP 91607-941
Phone: (818) 464-7079
Fax: (818) 688-5047

The provider's authorized official is Sergey Bedrossian .
The authorized official title is Ceo and has the following contact phone number (818) 646-7079.

The enumeration date for this NPI number is 3/19/2021 and was last updated on 3/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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