Organization Active NPI

GSG Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1104429992
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GSG HOSPICE INC
Practice address
7034 Van Nuys Blvd Ste G
Van Nuys, CA 91405-3062
Phone
(818) 452-5522
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Galust Galstyan
Title
Ceo
Phone
(818) 452-5522

Specialties & licenses 1

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

Addresses

Primary practice location

7034 Van Nuys Blvd Ste G
Van Nuys, CA 91405-3062

Mailing address

7034 Van Nuys Blvd Ste G
Van Nuys, CA 91405-3062
Phone (818) 452-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229002196 CA Part A Provider - Hospice 8820401409 Practice locations: Van Nuys, CA

Hospice certification: CCN B41571

Legal name
GSG HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 2022
Last certification
May 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 2, 2020 in CA
Enrollment address
7034 Van Nuys Blvd
Ste G
Van Nuys, CA 91405-3062

Care Compare: Hospice

Medicare Care Compare
Listed as
GSG Hospice, IncCCN B41571
Certified
May 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7034 Van Nuys Blvd
Ste G
Van Nuys, CA 91405
Phone (818) 616-6011

14545 Friar St
Ste 293
Van Nuys, CA 91411
Phone (818) 818-8281

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
Galust Galstyan Individual 5% Or Greater Direct Ownership Interest Oct 20, 2022 100%
Corporate OfficerCeo/Cfo/BM/Sec Oct 20, 2022 100%
Corporate DirectorCeo/Cfo/BM/Sec Oct 20, 2022 100%
W-2 Managing EmployeeCeo/Cfo/BM/Sec Oct 20, 2022 100%
Operational/Managerial ControlCeo/Cfo/BM/Sec Oct 20, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1104429992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 VAN NUYS BLVD STE G",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053062",
            "telephone_number": "818-452-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 VAN NUYS BLVD STE G",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053062",
            "telephone_number": "818-452-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSG HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "GALUST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-452-5522"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.