Organization Active NPI

Santa Teresa Hospice Care

  • Community Based Hospice Care Agency
  • Tarzana, CA
National Provider Identifier
1073102794
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SANTA TERESA HOSPICE CARE
Practice address
18401 Burbank Blvd Ste 117
Tarzana, CA 91356-2892
Phone
(818) 627-0027
NPI assigned
Jan 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

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

Addresses

Primary practice location

18401 Burbank Blvd Ste 117
Tarzana, CA 91356-2892

Mailing address

18401 Burbank Blvd Ste 117
Tarzana, CA 91356-2892

Care Compare: Hospice

Medicare Care Compare
Listed as
Santa Teresa Hospice CareCCN B51592
Certified
Oct 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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 Directory

Locations

18401 Burbank Blvd
Ste 117
Tarzana, CA 91356
Phone (818) 343-6887

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1073102794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD STE 117",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD STE 117",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562892",
            "telephone_number": "818-627-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA TERESA HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.

Verify at the official NPI Registry.