Provider Type Icon

MEDISTAR HOSPICE NPI 1982217337


NPI Information

NPI: 1982217337
Provider Name: MEDISTAR HOSPICE
Classification: Registered Nurse - 163WH1000X
Entity Type: Organization

Specialization: Hospice

Address:
17547 VENTURA BLVD STE 205
ENCINO, CA
ZIP 91316
Phone: (818) 635-3501
Get Directions

MEDISTAR HOSPICE is a hospice registered nurse in Encino, CA. MEDISTAR HOSPICE NPI is 1982217337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17547 VENTURA BLVD STE 205
ENCINO, CA
ZIP 91316-854
Phone: (818) 635-3501

The provider's authorized official is Inna Zhivilova .
The authorized official title is Owner and has the following contact phone number (818) 635-3501.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/26/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WH1000XRegistered NurseHospiceYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.