Organization Active NPI

In Good Hands Hospice, Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1083015200
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 13, 2020

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN A01611
Ownership
For-Profit
Certified
Feb 22, 2019
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
05D2095558In Good Hands Hospice Inc12158 Hamlin St, Ste #3, North Hollywood, CA 91606Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Alina Panossian Individual 5% Or Greater Direct Ownership InterestCeo Feb 1, 2023 100%
Corporate OfficerCeo Feb 1, 2023 100%
Corporate DirectorCeo Feb 1, 2023 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.