GOLDEN STATE HOSPICE NPI 1265063978

NPI Information

NPI: 1265063978
Provider Name: GOLDEN STATE HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2263975

Address:
20945 DEVONSHIRE ST STE 206
CHATSWORTH, CA
ZIP 91311
Phone: (818) 678-9835
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GOLDEN STATE HOSPICE is a hospice care community based in Chatsworth, CA. GOLDEN STATE HOSPICE NPI is 1265063978. The provider is registered as an organization entity type.

The provider's business location address is:

20945 DEVONSHIRE ST STE 206
CHATSWORTH, CA
ZIP 91311-370
Phone: (818) 678-9835
Fax: (818) 812-9477

The provider's authorized official is Rupa Sharma .
The authorized official title is Administrator and has the following contact phone number (818) 678-9835.

The CLIA number assigned to this NPI record is 05D2263975 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2020 and was last updated on 3/2/2023.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265063978	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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