Coral Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CORAL HOSPICE, INC.

Practice address

358 E Olive Ave Ste 104
Burbank, CA 91502-1215

Phone

(818) 322-6108

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Vardanyan

Title

Ceo

Phone

(818) 322-6108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235721291. Details of each certification follow.

• CCN B51552 Hospice · Active · Details

Hospice certification: CCN B51552

Legal name

CORAL HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 10, 2022

Last certification

Aug 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 22, 2021 in CA

Enrollment address

358 E Olive Ave
Ste 104
Burbank, CA 91502-1215

Listed as

Coral Hospice, Inc.CCN B51552 · All quality measures

Certified

Aug 10, 2022

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 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.

• Armen Hovhannisyan, MD

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1740488998

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1235721291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE STE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215",
            "telephone_number": "818-322-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E OLIVE AVE STE 104",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021215",
            "telephone_number": "818-322-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-322-6108"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Contreras
• Valeria Contreras
• Ian Cook
• Richard R. Cooke II, M.D.
• Katie Cooper, MS
• Stephanie Cordero
• Cordial Care Hospice Inc
• Rosana Coria, LCSW
• Cornerstone Caregiving West LLC
• Corona Pathology CPS Inc.

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Feb 10, 2021; 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.