Organization Active NPI

Lifetime Hospice Care Inc

  • Community Based Hospice Care Agency
  • Henderson, NV
National Provider Identifier
1023767316
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFETIME HOSPICE CARE INC
Practice address
871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977
Phone
(702) 289-4665
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Aram Asatryan
Title
Ceo
Phone
(702) 289-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977

Mailing address

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220822001772 NV Part A Provider - Hospice 2062895279 Practice locations: Henderson, NV

Hospice certification: CCN 291722

Legal name
LIFETIME HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 30, 2024
Last certification
Oct 30, 2024
Organization structure
CorporationProprietary
Incorporated
Mar 2, 2022 in NV
Enrollment address
871 Coronado Center Dr
Ste 200-236
Henderson, NV 89052-3977

Care Compare: Hospice

Medicare Care Compare
Listed as
Lifetime Hospice Care IncCCN 291722 · All quality measures
Certified
Oct 30, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

871 Coronado Center Dr
Ste 200236
Henderson, NV 89052
Phone (702) 289-4665

Ownership & related parties

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.

NameRoleSinceShare
Aram Asatryan Individual 5% Or Greater Indirect Ownership Interest Dec 22, 2023 100%
Corporate OfficerBoard Member Dec 22, 2023 100%
Corporate DirectorPresident/Ceo/Cfo Dec 22, 2023 100%
W-2 Managing EmployeeAd; Dec 22, 2023 100%
Alok Chandra Saxena Individual Contracted Managing EmployeeMD; Dec 22, 2023
Artfin Enterprise Inc Organization, Henderson, NV Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 22, 2023 100%
Operational/Managerial Control Dec 22, 2023 100%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1023767316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977",
            "telephone_number": "702-289-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-289-4665"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.