ATHENA INC NPI 1871081471

NPI Information

NPI: 1871081471
Provider Name: ATHENA INC

Doing Business As: ATHENA HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
7636 N INGRAM AVE STE 105
FRESNO, CA
ZIP 93711
Phone: (559) 241-9913
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ATHENA INC is a hospice care community based in Fresno, CA. ATHENA INC NPI is 1871081471. The provider is registered as an organization entity type.
The provider Is Doing Business As Athena Hospice.

The provider's business location address is:

7636 N INGRAM AVE STE 105
FRESNO, CA
ZIP 93711-200
Phone: (559) 241-9913

The provider's authorized official is Hasmik Keshishyan .
The authorized official title is Ceo and has the following contact phone number (559) 241-9913.

The CLIA number assigned to this NPI record is 05D2177938 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2018 and was last updated on 9/8/2023.

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			CALIFORNIA	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	PENDING	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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