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ST. NICOLAS HOSPICE CARE INC. NPI 1356616965


NPI Information

NPI: 1356616965
Provider Name: ST. NICOLAS HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2529 FOOTHILL BLVD
SUITE 1
LA CRESCENTA, CA
ZIP 91214
Phone: (818) 666-9344
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ST. NICOLAS HOSPICE CARE, INC. is a hospice care community based in La Crescenta, CA. ST. NICOLAS HOSPICE CARE, INC. NPI is 1356616965. The provider is registered as an organization entity type.

The provider's business location address is:

2529 FOOTHILL BLVD
SUITE 1
LA CRESCENTA, CA
ZIP 91214-521
Phone: (818) 666-9344
Fax: (800) 250-9813

The provider's authorized official is Narine Avagyan .
The authorized official title is Ceo/president and has the following contact phone number (818) 666-9344.

The enumeration date for this NPI number is 3/14/2012 and was last updated on 10/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedNo
2251G00000XHospice Care, Community Based550002291CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1751589MEDICARE OSCAR/CERTIFICATION
2550002291MEDICAIDCALIFORNIA

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

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