Active NPI
Unique Care Los Angeles Hospice, Inc.
- Community Based Hospice Care Agency
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- UNIQUE CARE LOS ANGELES HOSPICE, INC.
- Practice address
- 12750 Center Court Dr S Ste 240
Cerritos, CA 90703-8570 - Phone
- (877) 359-2766
- Fax
- (855) 469-1488
- NPI assigned
- May 27, 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
- Amir Jordan Esmail
- Title
- Ceo
- Phone
- (657) 955-4577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Primary |
Addresses
Primary practice location
12750 Center Court Dr S Ste 240
Cerritos, CA 90703-8570
Mailing address
12750 Center Court Dr S Ste 240
Cerritos, CA 90703-8570
Phone (877) 359-2766
Other names 1
- Integna Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150924003365 | CA | Part A Provider - Hospice | 3678881646 | Practice locations: Agoura Hills, CA |
Hospice certification: CCN A01541
- Legal name
- UNIQUE CARE LOS ANGELES HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 2, 2018
- Last certification
- Mar 3, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- May 6, 2014 in CA
- Enrollment address
- 30423 Canwood St
Ste 226
Agoura Hills, CA 91301-4367
Care Compare: Hospice
Medicare Care Compare- Listed as
- Unique Care Los Angeles Hospice, Inc
- Ownership
- For-Profit
- Certified
- Sep 2, 2018
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
30423 Canwood St
Ste 226
Agoura Hills, CA 91301
Phone (818) 878-9440
27001 Agoura Rd
Ste 110
Calabasas, CA 91301
Phone (818) 878-9440
12750 Center Court Dr S
Ste 240
Cerritos, CA 90703
Phone (877) 359-2766
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aryan Jamali | 5% Or Greater Direct Ownership Interest | Apr 28, 2014 | 50% |
| Corporate Officer | Apr 28, 2014 | 50% | |
| Corporate Director | Sep 15, 2022 | 50% | |
| W-2 Managing Employee | Sep 15, 2022 | 50% | |
| Reza Zamani Farahani | 5% Or Greater Direct Ownership Interest | Apr 28, 2014 | 50% |
| Corporate Officer | Apr 28, 2014 | 50% | |
| Yelena Foygelman | Corporate Officer | Sep 15, 2022 | |
| Parviz Amini | Contracted Managing Employee | May 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1942230495
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Long Beach, CA
- NPI 1598372229
-
- Home Health Agency
- Agoura Hills, CA
- NPI 1013553858
-
- Homemaker
- Buena Park, CA
- NPI 1285241901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1114339041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12750 CENTER COURT DR S STE 240",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038570",
"telephone_number": "877-359-2766",
"fax_number": "855-469-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 CENTER COURT DR S STE 240",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038570",
"telephone_number": "877-359-2766",
"fax_number": "855-469-1488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE CARE LOS ANGELES HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "ESMAIL",
"authorized_official_first_name": "AMIR JORDAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "657-955-4577"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integna Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.