Active NPI
In Good Hands Hospice, Inc.
- Community Based Hospice Care Agency
- North Hollywood, CA
National Provider Identifier
1083015200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- IN GOOD HANDS HOSPICE, INC.
- Practice address
- 12158 Hamlin St Ste 3
North Hollywood, CA 91606-1433 - Phone
- (818) 760-7164
- Fax
- (818) 960-7164
- NPI assigned
- Sep 8, 2014
- 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
- Vardui Aydedjian
- Title
- Ceo/Administrator
- Phone
- (818) 760-7164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
12158 Hamlin St Ste 3
North Hollywood, CA 91606-1433
Mailing address
6260 Laurel Canyon Blvd Ste 301
North Hollywood, CA 91606-3243
Phone (818) 760-7164
Other names 1
- In Good Hands Hospice, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141029001654 | CA | Part A Provider - Hospice | 5698996916 | Practice locations: North Hollywood, CA |
Hospice certification: CCN A01611
- Legal name
- IN GOOD HANDS HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 22, 2019
- Last certification
- Feb 22, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 21, 2014 in CA
- Enrollment address
- 12158 Hamlin St
Ste 3
North Hollywood, CA 91606-1433
Care Compare: Hospice
Medicare Care Compare- Listed as
- In Good Hands Hospice, Inc
- Ownership
- For-Profit
- Certified
- Feb 22, 2019
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2095558 | In Good Hands Hospice Inc | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
12158 Hamlin St
Ste 3
North Hollywood, CA 91606
Phone (818) 760-7164
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Alina Panossian | 5% Or Greater Direct Ownership Interest | Feb 1, 2023 | 100% |
| Corporate Officer | Feb 1, 2023 | 100% | |
| Corporate Director | Feb 1, 2023 | 100% | |
| W-2 Managing Employee | Feb 1, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584057600000",
"number": "1083015200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 LAUREL CANYON BLVD STE 301",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063243",
"telephone_number": "818-760-7164",
"fax_number": "818-760-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12158 HAMLIN ST STE 3",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061433",
"telephone_number": "818-760-7164",
"fax_number": "818-960-7164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN GOOD HANDS HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A",
"authorized_official_last_name": "AYDEDJIAN",
"authorized_official_first_name": "VARDUI",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "818-760-7164"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "In Good Hands Hospice, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "In Good Hands Hospice, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.