Impact Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMPACT HOSPICE CARE INC

Practice address

16430 Ventura Blvd Ste 200a
Encino, CA 91436-2135

Phone

(818) 281-7946

Fax

(855) 662-7926

NPI assigned

Nov 12, 2020

Organization subpart

No

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

Authorized official

Name

Yaroslava MarkovNPI 1285418749

Title

Ceo

Phone

(800) 444-1960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN D61526

Legal name

IMPACT HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 12, 2023

Last certification

Sep 8, 2023

Organization structure

CorporationProprietary

Incorporated

Nov 2, 2020 in CA

Enrollment address

16430 Ventura Blvd
Ste 200a
Encino, CA 91436-2135

Locations

All disclosed owners & managing parties 1

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.

• Yaroslava Markov, MSN, ARNP, FNP

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1285418749

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 3

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

• Yaroslava Markov, MSN, ARNP, FNP

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1285418749
  NPD Authorized official
• Cher Reif

  • Psychologist
  • Woodland Hills, CA
  • NPI 1851606461
  NPD (past)
• Neil Schuitevoerder, PH.D.

  • Clinical Psychologist
  • Woodland Hills, CA
  • NPI 1356493209
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1225630486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD STE 200A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362135",
            "telephone_number": "818-281-7946",
            "fax_number": "855-662-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD STE 200A",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362135",
            "telephone_number": "818-281-7946",
            "fax_number": "855-662-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "MARKOV",
        "authorized_official_first_name": "YAROSLAVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-444-1960"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theo Ikele, NP
• Mavis Amarachi Ikpegbu
• Ilona Abraham MD Inc
• Mahdouneh Imani, MFTI
• Impact Home Health Care Inc
• Impulse Imaging Inc.
• In-Line Medical, Inc., a Professional Medical Corporation
• Indar Sarransingh MD a Medical Corp
• Independent Physical Therapy Inc
• Indianer, Lask & Rosenzweig, M.D.'S, Dermatology Group, a Medical Corp

• Community Based Hospice Care Agency in Encino, CA
• Providers in Encino, 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 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.