I Know Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

I KNOW HOSPICE, INC.

Practice address

18425 Burbank Blvd Ste 401
Tarzana, CA 91356-2806

Phone

(818) 627-0027

Fax

(213) 454-0104

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 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

Tatyana Marchenko

Title

Ceo

Phone

(818) 627-0027

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 1023625423. Details of each certification follow.

• CCN B31712 Hospice · Active · Details

Hospice certification: CCN B31712

Legal name

I KNOW HOSPICE INC

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

Sep 9, 2020 in CA

Enrollment address

18425 Burbank Blvd
Ste 401
Tarzana, CA 91356-2825

Listed as

I Know Hospice IncCCN B31712 · All quality measures

Certified

Jan 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kamyar Kamjoo, MD

  • Nephrology Physician
  • Tarzana, CA
  • NPI 1558465708

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Fariba Javaherian, M.D

  • Dermatology Physician
  • Northridge, CA
  • NPI 1114088804

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1023625423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 401",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-627-0027",
            "fax_number": "213-454-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 401",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-627-0027",
            "fax_number": "213-454-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I KNOW HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "MARCHENKO",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-627-0027"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Brain Hughey
• Eric Hunter
• Mikaela Hurd
• Daniela Hurtado
• Kenton Hutchison
• I.Richard Massoth, DDS, Lise Laflamme, DMD
• Elizabeth Ibrahim, PHARMD
• Chioma Ikpe
• Ilaaj Physical Therapy
• Ilham Akraa D D S Incorporated (Cute Smile)

• Community Based Hospice Care Agency in Tarzana, CA
• Providers in Tarzana, 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 29, 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.