Active NPI
Visiting Angels Hospice Care Inc
- Community Based Hospice Care Agency
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VISITING ANGELS HOSPICE CARE INC
- Practice address
- 5958 Vineland Ave Ste L1
North Hollywood, CA 91601-1329 - Phone
- (818) 821-3604
- NPI assigned
- Jul 29, 2020
- 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
- Marine Keshishian
- Title
- Ceo
- Phone
- (818) 821-3604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5958 Vineland Ave Ste L1
North Hollywood, CA 91601-1329
Mailing address
5859 Vineland Ave Ste L1
North Hollywood, CA 91601-1323
Phone (818) 821-3604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210303001967 | CA | Part A Provider - Hospice | 6709292477 | Practice locations: North Hollywood, CA |
Hospice certification: CCN B21672
- Legal name
- VISITING ANGELS HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 24, 2021
- Last certification
- Jun 24, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 3, 2020 in CA
- Enrollment address
- 5958 Vineland Ave
Ste L1
North Hollywood, CA 91601-1329
Care Compare: Hospice
Medicare Care Compare- Listed as
- Visiting Angels Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Jun 24, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5958 Vineland Ave
Ste L1
North Hollywood, CA 91601
Phone (818) 821-3604
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Sieghart Hans Ponhold | Contracted Managing Employee | Dec 1, 2025 | |
| Raymond John Dorio | Contracted Managing Employee | Jan 1, 2026 | |
| Marine a Keshishian | 5% Or Greater Direct Ownership Interest | Mar 19, 2024 | 100% |
| Corporate Officer | Jun 3, 2020 | 100% | |
| W-2 Managing Employee | Mar 19, 2024 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Newhall, CA
- NPI 1205984739
Contracted Managing Employee
-
- Family Medicine Physician
- Norwalk, CA
- NPI 1891883955
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Newhall, CA
- NPI 1205984739
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Diamond Bar, CA
- NPI 1144774613
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1144839747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5859 VINELAND AVE STE L1",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916011323",
"telephone_number": "818-821-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5958 VINELAND AVE STE L1",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916011329",
"telephone_number": "818-821-3604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING ANGELS HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-29",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "KESHISHIAN",
"authorized_official_first_name": "MARINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-821-3604"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.