BLUE MOON HOSPICE INC. NPI 1922672369

NPI Information

NPI: 1922672369
Provider Name: BLUE MOON HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
10999 RIVERSIDE DR STE 102B
NORTH HOLLYWOOD, CA
ZIP 91602
Phone: (747) 877-9126
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BLUE MOON HOSPICE, INC. is a hospice care community based in North Hollywood, CA. BLUE MOON HOSPICE, INC. NPI is 1922672369. The provider is registered as an organization entity type.

The provider's business location address is:

10999 RIVERSIDE DR STE 102B
NORTH HOLLYWOOD, CA
ZIP 91602-239
Phone: (747) 877-9126
Fax: (747) 877-9127

The provider's authorized official is Robin Mohammed .
The authorized official title is Ceo and has the following contact phone number (747) 877-9126.

The enumeration date for this NPI number is 5/19/2021 and was last updated on 5/19/2021.

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: 4/28/2024

NPI Synchronization or Removal

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