Organization Active NPI

Az Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1154963932
Registry record updated Oct 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AZ HOSPICE AND PALLIATIVE CARE INC
Practice address
6320 Van Nuys Blvd Ste 501B
Van Nuys, CA 91401-2617
Phone
(818) 538-5121
NPI assigned
Oct 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2019

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

Authorized official

Name
Arsen Zaratsian
Title
Ceo
Phone
(818) 538-5121

Specialties & licenses 1

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

Addresses

Primary practice location

6320 Van Nuys Blvd Ste 501B
Van Nuys, CA 91401-2617

Mailing address

6320 Van Nuys Blvd Ste 501B
Van Nuys, CA 91401-2617
Phone (818) 538-5121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200605000135 CA Part A Provider - Hospice 2567883275 Practice locations: Van Nuys, CA

Hospice certification: CCN A11600

Legal name
AZ HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 11, 2020
Last certification
Aug 11, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 22, 2019 in CA
Enrollment address
6320 Van Nuys Blvd
Ste 402a
Van Nuys, CA 91401-2617

Care Compare: Hospice

Medicare Care Compare
Listed as
Az Hospice Palliative Care, IncCCN A11600
Ownership
For-Profit
Certified
Aug 11, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6320 Van Nuys Blvd
Ste 501B
Van Nuys, CA 91401
Phone (818) 538-5121

6320 Van Nuys Blvd
Ste 402A
Van Nuys, CA 91401
Phone (818) 538-5121

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
Stanley a Azen Individual Contracted Managing EmployeeMD; Jan 1, 2026
Anna Vardanyan Individual Contracted Managing EmployeeDPCS Jan 1, 2026
Narbeh Shahverdian Individual 5% Or Greater Direct Ownership InterestCeo Oct 1, 2022 100%
Corporate OfficerCeo Oct 1, 2022 100%
Corporate DirectorCeo Oct 1, 2022 100%
W-2 Managing EmployeeAd;Ad;Ceo Oct 1, 2022 100%

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

Affiliated clinicians 2

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": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1154963932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 501B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012617",
            "telephone_number": "818-538-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VAN NUYS BLVD STE 501B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012617",
            "telephone_number": "818-538-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "ZARATSIAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-5121"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.