VIRIDIAN HEALTHCARE LLC (NPI# 1225524663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225524663 |
| Entity Type | Organization |
| Organization Name | VIRIDIAN HEALTHCARE LLC |
| Other Organization Name | VIRIDIAN HOSPICE AGENCY |
| Practice Address |
13658 Hawthorne Blvd Ste 201 Hawthorne CA 90250 |
| Mailing Address |
13658 Hawthorne Blvd Ste 201 Hawthorne CA 90250-5822 |
| Practice Telephone | 3108775368 |
| Mailing Telephone | 3108775368 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | HENRY PEKUN (PRESIDENT) |
| Authorized Official Telephone | 3108775368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Viridian Hospice Agency | Doing Business As Name - Organization |
| Street Address |
13658 HAWTHORNE BLVD STE 201 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| 1902262199 | Prudencesa P Renfro | Counselor | 4513 W 115th St Apt 10, Hawthorne, CA 90250 | 2016-01-04 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871988840 | Sun Rise Hospice Care LLC | Hospice Care, Community Based | 13658 Hawthorne Blvd Ste 200b, Hawthorne, CA 90250-5822 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1528669207 | La Vida Care Hospice Inc | Hospice Care, Community Based | 6309 Van Nuys Blvd Ste 106, Van Nuys, CA 91401-6613 | 2020-11-08 |
| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.