Integrity Care of the West, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INTEGRITY CARE OF THE WEST, INC.

Practice address

15130 Ventura Blvd
304
Sherman Oaks, CA 91403-3301

Phone

(818) 275-4649

NPI assigned

Jan 29, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Bershatski

Title

Chief Executive Officer

Phone

(818) 275-4649

Specialties & licenses 1

Addresses

Other names 1

• Sacred Life Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751501

Legal name

INTEGRITY CARE OF THE WEST, INC.

Doing business as

SACRED LIFE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 10, 2014

Last certification

Apr 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 9, 2011 in CA

Enrollment address

15130 Ventura Blvd
Ste 304
Sherman Oaks, CA 91403-3378

Listed as

Sacred Life HospiceCCN 751501

Ownership

For-Profit

Certified

Feb 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Pooya Mobasseri, D.O.

  • Family Medicine Physician
  • Westlake Village, CA
  • NPI 1356670657

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1194097741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD",
            "address_2": "304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033301",
            "telephone_number": "818-275-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 VENTURA BLVD",
            "address_2": "304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033301",
            "telephone_number": "818-275-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY CARE OF THE WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "BERSHATSKI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-275-4649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Life Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; 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.

Verify at the official NPI Registry.