Unified Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

UNIFIED HOSPICE SERVICES, INC.

Practice address

4730 Woodman Ave # 440B
Sherman Oaks, CA 91423-2400

Phone

(818) 875-1276

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Carmela DohlNPI 1710809934

Title

Ceo

Phone

(818) 875-1276

Specialties & licenses 1

Addresses

Other names 1

• NOBLE HEALTHCARE SYSTEMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51646

Legal name

UNIFIED HOSPICE SERVICES, INC.

Doing business as

NOBLE HEALTHCARE SYSTEMS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 20, 2023

Last certification

Mar 9, 2023

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2020 in CA

Enrollment address

4730 Woodman Ave
# 440B
Sherman Oaks, CA 91423-2400

Listed as

Noble Healthcare SystemsCCN B51646

Certified

Mar 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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

• Carmela Dohl

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1710809934
  NPD (past) Authorized official
• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1194313734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE # 440B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-875-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE # 440B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-875-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "DOHL",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-875-1276"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOBLE HEALTHCARE SYSTEMS",
            "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 May 20, 2022; 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.