Active NPI
Medina Hospice Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1063043735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MEDINA HOSPICE INC
- Practice address
- 6850 Van Nuys Blvd Ste 204
Van Nuys, CA 91405-4629 - Phone
- (818) 640-6752
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susanna Ovsepyan
- Title
- Eco
- Phone
- (818) 640-6752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6850 Van Nuys Blvd Ste 204
Van Nuys, CA 91405-4629
Mailing address
6850 Van Nuys Blvd Ste 204
Van Nuys, CA 91405-4629
Phone (818) 640-6752
Care Compare: Hospice
Medicare Care Compare- Listed as
- Medina Hospice Inc
- Ownership
- For-Profit
- Certified
- Oct 15, 2021
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1063043735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 VAN NUYS BLVD STE 204",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054629",
"telephone_number": "818-640-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 VAN NUYS BLVD STE 204",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054629",
"telephone_number": "818-640-6752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDINA HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "OVSEPYAN",
"authorized_official_first_name": "SUSANNA",
"authorized_official_title_or_position": "ECO",
"authorized_official_telephone_number": "818-640-6752"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.