Diamond Key Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIAMOND KEY HOSPICE, INC.

Practice address

19634 Ventura Blvd Ste 112
Tarzana, CA 91356-2966

Phone

(818) 476-5477

Fax

(818) 476-5690

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 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

Vahan Vahanyan

Title

Owner

Phone

(828) 900-0009

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073120887. Details of each certification follow.

• CCN B31573 Hospice · Active · Details

Hospice certification: CCN B31573

Legal name

DIAMOND KEY HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 14, 2021

Last certification

Oct 14, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2020 in CA

Enrollment address

19634 Ventura Blvd
Ste 112
Tarzana, CA 91356-2966

Listed as

Diamond Key Hospice, IncCCN B31573 · All quality measures

Certified

Oct 14, 2021

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.

• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421
  NPD (past)

Affiliated clinicians 1

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

• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1073120887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 112",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-476-5477",
            "fax_number": "818-476-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 112",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-476-5477",
            "fax_number": "818-476-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND KEY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "VAHANYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-900-0009"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "19634 Ventura Blvd Ste 112",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913562966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 25, 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.