Organization Active NPI

Visiting Angels Hospice Care Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1144839747
Registry record updated Aug 13, 2020
On this page

Key facts

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

Updated by the provider on Aug 13, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B21672
Ownership
For-Profit
Certified
Jun 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sieghart Hans Ponhold Individual Contracted Managing EmployeeDesignee Dec 1, 2025
Raymond John Dorio Individual Contracted Managing EmployeeMD; Jan 1, 2026
Marine a Keshishian Individual 5% Or Greater Direct Ownership InterestCeo Mar 19, 2024 100%
Corporate OfficerCeo Jun 3, 2020 100%
W-2 Managing EmployeeAd;Ceo 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.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.