Malta Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MALTA HOSPICE CARE

Practice address

7257 Vassar Ave Ste 200
Canoga Park, CA 91303-4407

Phone

(818) 531-5751

NPI assigned

Aug 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hasmik Bagdasaryan

Title

President

Phone

(818) 531-5751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31777

Legal name

MALTA HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 10, 2022

Last certification

Jan 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 1, 2020 in CA

Enrollment address

7257 Vassar Ave
Ste 200
Canoga Park, CA 91303-4407

Listed as

Malta Hospice CareCCN B31777

Certified

Jan 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1023620127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 VASSAR AVE STE 200",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 VASSAR AVE STE 200",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034407",
            "telephone_number": "818-531-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTA HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BAGDASARYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-531-5751"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forouzandeh Makarehchi, D.C.
• Wervonn Esteban Malabanan, PT
• Kimberly Maldonado
• Lauren Maldonado
• Malta Home Health
• Mary Joy L Manalang
• Layla Manesh
• Manifest Your Therapy
• Kimiya Manoochehri
• Jaquelyn Manougian

• Community Based Hospice Care Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.