Organization Active NPI

Journey Palliative and Hospice Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1073125761
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JOURNEY PALLIATIVE AND HOSPICE INC.
Practice address
4405 W Riverside Dr Ste 204
Burbank, CA 91505-4050
Phone
(818) 748-3427
Fax
(818) 688-8086
NPI assigned
Aug 23, 2020
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Ovsanna Uzunyan, RN
Title
Administrator
Phone
(818) 291-3394

Specialties & licenses 1

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

Addresses

Primary practice location

4405 W Riverside Dr Ste 204
Burbank, CA 91505-4050

Mailing address

4405 W Riverside Dr Ste 204
Burbank, CA 91505-4050
Phone (818) 748-3427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025002507 CA Part A Provider - Hospice 4284022211 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073125761. Details of each certification follow.

Hospice certification: CCN B41664

Legal name
JOURNEY PALLIATIVE AND HOSPICE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 11, 2022
Last certification
May 11, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
4405 W Riverside Dr
Ste 204
Burbank, CA 91505-4050

Care Compare: Hospice

Medicare Care Compare
Listed as
Journey Palliative and Hospice, Inc.CCN B41664 · All quality measures
Certified
May 11, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2230212Journey Palliative and Hospice, Inc4405 Riverside Dr, St 204, Burbank, CA 91505Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

4405 W Riverside Dr
Ste 204
Burbank, CA 91505
Phone (818) 748-3427

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Arpine Melikyan Individual W-2 Managing EmployeeAdministrator Designee Jul 10, 2020
Jaykumar Harilal Shah Individual Contracted Managing EmployeeMD; Mar 17, 2026
Ovsanna Uzunyan Individual W-2 Managing EmployeeAd;Administrator/DPCS Jul 1, 2020
Hayk Avalyan Individual W-2 Managing EmployeeOffice Manager Jun 1, 2022
Karine Uzunyan Individual 5% Or Greater Direct Ownership InterestCeo/Governing Body Member Jul 2, 2020 100%
Corporate OfficerCeo/Governing Body Member Jul 2, 2020 100%
Corporate DirectorCeo/Governing Body Member Jul 2, 2020 100%
W-2 Managing EmployeeCeo/Cfo/Governing Body Member Jul 2, 2020 100%
Karine Chalikyan Individual W-2 Managing EmployeeDPCS Designee Jul 2, 2022
Helen Rostamloo Individual Contracted Managing EmployeeMedical Director Designee May 1, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1073125761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-748-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-748-3427",
            "fax_number": "818-688-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY PALLIATIVE AND HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "UZUNYAN",
        "authorized_official_first_name": "OVSANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-291-3394",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.