Organization Active NPI

Renaissance Hospice Care Inc

  • Community Based Hospice Care Agency
  • Studio City, CA
National Provider Identifier
1124666706
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RENAISSANCE HOSPICE CARE INC
Practice address
11485 Ventura Blvd Unit a
Studio City, CA 91604-3143
Phone
(323) 285-5577
Fax
(888) 977-1412
NPI assigned
Dec 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Authorized official

Name
Varduhi Avetisyan
Title
Ceo
Phone
(323) 285-5577

Specialties & licenses 1

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

Addresses

Primary practice location

11485 Ventura Blvd Unit a
Studio City, CA 91604-3143

Mailing address

11485 Ventura Blvd Unit a
Studio City, CA 91604-3143
Phone (323) 285-5577

Care Compare: Hospice

Medicare Care Compare
Listed as
Renaissance Hospice Care, IncCCN B31646
Certified
Dec 8, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

11485 Ventura Blvd
#A
Studio City, CA 91604
Phone (323) 285-5577

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1124666706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 VENTURA BLVD UNIT A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043143",
            "telephone_number": "323-285-5577",
            "fax_number": "888-977-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11485 VENTURA BLVD UNIT A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043143",
            "telephone_number": "323-285-5577",
            "fax_number": "888-977-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "VARDUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-285-5577"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.