Amari Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMARI HOSPICE CARE INC.

Doing business as

Amari Hospice Care Inc.

Practice address

6720 Fair Oaks Blvd Ste 100
Carmichael, CA 95608-3826

Phone

(916) 993-9679

Fax

(916) 550-0876

NPI assigned

Jan 31, 2020

Last updated

May 14, 2021By 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

Lyubov Karapetyan

Title

Ceo

Phone

(916) 993-9679

Specialties & licenses 1

Addresses

Other names 1

• Amari Hospice Care Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043841612. Details of each certification follow.

• CCN B21648 Hospice · Active · Details

Hospice certification: CCN B21648

Legal name

AMARI HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 9, 2021

Last certification

Jul 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 24, 2019 in CA

Enrollment address

6720 Fair Oaks Blvd
Ste 100
Carmichael, CA 95608-3826

Listed as

Amari Hospice Care Inc.CCN B21648 · All quality measures

Ownership

For-Profit

Certified

Jul 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Andrew J Tak, MD

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1528158953

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Andrew J Tak, MD

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1528158953

  Hospice

  Care Compare affiliation
• Jeffrey K Yee, MD

  • Internal Medicine Physician
  • Citrus Heights, CA
  • NPI 1477575900

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1043841612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 FAIR OAKS BLVD STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083826",
            "telephone_number": "916-993-9679",
            "fax_number": "916-550-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 FAIR OAKS BLVD STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083826",
            "telephone_number": "916-993-9679",
            "fax_number": "916-550-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARI HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-993-9679"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amari Hospice Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amari Hospice Care Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle C Allwardt, MSN, FNP
• Tara Aloot
• Deepika Aluru
• Elicia Alvarado
• Amari Home Health Care Inc.
• Joe Ambrose, SUDRC
• Matthew L Amlin
• Angel Tien Amodo
• Amanda Amos
• Amplehealth

• Community Based Hospice Care Agency in Carmichael, CA
• Providers in Carmichael, 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 May 14, 2021; 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.