MOONLIGHT HOSPICE CARE INC NPI 1205297314

NPI Information

NPI: 1205297314
Provider Name: MOONLIGHT HOSPICE CARE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2148020

Address:
348 E OLIVE AVE
SUITE J
BURBANK, CA
ZIP 91502
Phone: (818) 429-0797
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MOONLIGHT HOSPICE CARE, INC is a hospice care community based in Burbank, CA. MOONLIGHT HOSPICE CARE, INC NPI is 1205297314. The provider is registered as an organization entity type.

The provider's business location address is:

348 E OLIVE AVE
SUITE J
BURBANK, CA
ZIP 91502-235
Phone: (818) 429-0797

The provider's authorized official is Hripsime Chilian .
The authorized official title is Ceo and has the following contact phone number (818) 429-0797.

The CLIA number assigned to this NPI record is 05D2148020 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 11/9/2021.

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: 5/5/2024

NPI Synchronization or Removal

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