ELYSIUM HOSPICE CARE INC. NPI 1396113726

NPI Information

NPI: 1396113726
Provider Name: ELYSIUM HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2105748

Address:
4225 VALLEY FAIR ST
SUITE 101
SIMI VALLEY, CA
ZIP 93063
Phone: (805) 428-8302
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ELYSIUM HOSPICE CARE, INC. is a hospice care community based in Simi Valley, CA. ELYSIUM HOSPICE CARE, INC. NPI is 1396113726. The provider is registered as an organization entity type.

The provider's business location address is:

4225 VALLEY FAIR ST
SUITE 101
SIMI VALLEY, CA
ZIP 93063-952
Phone: (805) 428-8302
Fax: (805) 428-8301

The provider's authorized official is Aaron J Mehlman .
The authorized official title is Ceo/cfo and has the following contact phone number (805) 428-8302.

The CLIA number assigned to this NPI record is 05D2105748 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 9/2/2015.

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

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