Organization
AMETHYST HOSPICE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA ABDURASHIDOVA RN (RN/DPCS)
(818) 294-6298
Entity
Organization
Contact information
Practice address
2139 TAPO ST STE 207, SIMI VALLEY, CA 93063-3476
(805) 261-0139
(805) 261-0227
Mailing address
2139 TAPO ST STE 207, SIMI VALLEY, CA 93063-3476
(805) 261-0139
(805) 261-0227
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HOSPICE
—
CA
Enumeration date
01/07/2021
Last updated
01/07/2021
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