K and S Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

K AND S HOSPICE INC

Practice address

4100 W Alameda Ave FL 3
Burbank, CA 91505

Phone

(818) 304-7277

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarkis Petrosyan

Title

Owner

Phone

(818) 304-7277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023625035. Details of each certification follow.

• CCN B21711 Hospice · Active · Details

Hospice certification: CCN B21711

Legal name

K AND S HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 24, 2021

Last certification

Feb 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 18, 2020 in CA

Enrollment address

4100 W Alameda Ave
FL 3
Burbank, CA 91505-4191

Listed as

K and S Hospice, IncCCN B21711 · All quality measures

Ownership

For-Profit

Certified

Feb 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Jerry Steven Garcia, MD

  • Family Medicine Physician
  • La Habra Heights, CA
  • NPI 1881617397

  Hospice

  Care Compare affiliation
• Andres Gonzalez, M.D.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1669892147

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1023625035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE FL 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054191",
            "telephone_number": "818-304-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W ALAMEDA AVE FL 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-304-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND S HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-304-7277"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• K C Medical Group Inc
• K.E.Y to Love Family Counseling Inc.
• Debra L Kabaivanoff, ARNP
• Kanwarpal Singh Kahlon, M.D.
• Jaikrishnan R Kakanar, DDS

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Sep 24, 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.