MEDISTAR HOSPICE (NPI# 1982217337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982217337 |
Entity Type | Organization |
Organization Name | MEDISTAR HOSPICE |
Practice Address |
17547 Ventura Blvd Ste 205 Encino CA 91316-3854 |
Practice Telephone | 8186353501 |
Mailing Telephone | 8186353501 |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |
Authorized Official Name | INNA ZHIVILOVA (OWNER) |
Authorized Official Telephone | 8186353501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH1000X |
Registered Nurse Specialization: Hospice |
Nursing Service Providers |
Other Name | Type Code |
---|---|
medistar hospice | Doing Business As Name - Organization |
Street Address |
17547 VENTURA BLVD STE 205 |
City | ENCINO |
State | CA |
Zip Code | 91316-3854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
Find all providers in zip 91316 |
Taxonomy Code | 163WH1000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Hospice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023078763 | Celebrity Health Services, Inc. | Registered Nurse | 6345 Balboa Blvd Ste 140, Encino, CA 91316-1510 | 2006-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992754 | Khanh Farkas | Registered Nurse | 4224 Lindsey Ln, Tracy, CA 95377-7078 | 2020-11-06 |
1033717723 | Saint Mark Hospice Inc | Registered Nurse | 7311 Van Nuys Blvd Ste 3, Van Nuys, CA 91405-1958 | 2020-10-14 |
1639776933 | Jeongsim Kim Izadi | Registered Nurse | 2814 Montair Pl, Union City, CA 94587-1680 | 2020-10-08 |
1720694524 | Lateisha Mcdonald | Registered Nurse | 1003 E Cooley Dr Ste J, Colton, CA 92324-3948 | 2020-09-17 |
1871108878 | Healthy Care Hands Hospice Inc | Registered Nurse | 3857 Foothill Blvd Ste 22, La Crescenta, CA 91214-1670 | 2020-09-15 |
1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
1053931444 | Lenta Hospice | Registered Nurse | 3330 Barham Blvd # 3201, Los Angeles, CA 90068-1400 | 2020-04-25 |
1265051718 | White Oak Hospice | Registered Nurse | 555 W Colorado St # A, Glendale, CA 91204-1101 | 2020-04-14 |
1376173666 | Anahi Lizbeth Gamino Bocanegra | Registered Nurse | 7755 La Mesa Way, Buena Park, CA 90620-2327 | 2020-01-25 |
1659910404 | James Lunsford | Registered Nurse | 4327 Dalton Ave, Los Angeles, CA 90062-1813 | 2019-12-26 |
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.