NPI Code Detail JSON Logo

1396344396 NPI number — FORTIS HOSPICE & PALLIATIVE CARE, INC

NPI Number: 1396344396
Health Care Provider/Practitioner: FORTIS HOSPICE & PALLIATIVE CARE, INC

Information about “1396344396” NPI (FORTIS HOSPICE & PALLIATIVE CARE, INC) exists in 1396344396 in HTML format HTML  |  1396344396 in plain Text format TXT  |  1396344396 in PDF (Portable Document Format) PDF  |  1396344396 in an XML format XML  formats.

NPI Number : 1396344396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396344396",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FORTIS HOSPICE & PALLIATIVE CARE, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5236 COLODNY DR STE 208A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AGOURA HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91301-2624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "747-212-0350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5236 COLODNY DR STE 208A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AGOURA HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91301-2624",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "747-212-0350",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/21/2020",
    "LastUpdateDate": "10/21/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EAPEN",
    "AuthorizedOfficialFirstName": "SWEETY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-825-4103",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251G00000X",
        "TaxonomyName": "Community Based Hospice Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.