PRO-MED HOSPICE INC NPI 1265033955

NPI Information

NPI: 1265033955
Provider Name: PRO-MED HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6621 VAN NUYS BLVD
UNIT 108
VAN NUYS, CA
ZIP 91405
Phone: (818) 691-1441
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PRO-MED HOSPICE INC is a hospice care community based in Van Nuys, CA. PRO-MED HOSPICE INC NPI is 1265033955. The provider is registered as an organization entity type.

The provider's business location address is:

6621 VAN NUYS BLVD
UNIT 108
VAN NUYS, CA
ZIP 91405
Phone: (818) 691-1441
Fax: (818) 431-4345

The provider's authorized official is Gary Avanesov .
The authorized official title is Ceo and has the following contact phone number (818) 691-1441.

The enumeration date for this NPI number is 11/8/2020 and was last updated on 11/8/2020.

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 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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