Organization Active NPI

Unique Care Los Angeles Hospice, Inc.

  • Community Based Hospice Care Agency
  • Cerritos, CA
National Provider Identifier
1114339041
Registry record updated Nov 14, 2024
On this page

Key facts

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

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Amir Jordan EsmailNPI 1598372229
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN A01541
Ownership
For-Profit
Certified
Sep 2, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Aryan Jamali Individual 5% Or Greater Direct Ownership InterestOwner Apr 28, 2014 50%
Corporate OfficerVice President/Secretary Apr 28, 2014 50%
Corporate DirectorDPCS Sep 15, 2022 50%
W-2 Managing EmployeeAd;DPCS Sep 15, 2022 50%
Reza Zamani Farahani Individual 5% Or Greater Direct Ownership InterestOwner Apr 28, 2014 50%
Corporate OfficerCeo/President Apr 28, 2014 50%
Yelena Foygelman Individual Corporate OfficerRN Manager Sep 15, 2022
Parviz Amini Individual Contracted Managing EmployeeMD; 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.