American Heritage Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMERICAN HERITAGE HOSPICE INC

Practice address

1837 Iron Point Rd Ste 180
Folsom, CA 95630

Phone

(818) 636-0369

NPI assigned

Mar 14, 2018

Last updated

May 10, 2019By 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

Vigen Iskandaryan

Title

Ceo

Phone

(916) 306-5200

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 1245733328. Details of each certification follow.

• CCN A01642 Hospice · Active · Details

Hospice certification: CCN A01642

Legal name

AMERICAN HERITAGE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 21, 2019

Last certification

Aug 21, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 22, 2018 in CA

Enrollment address

1837 Iron Point Rd
Ste 180
Folsom, CA 95630-8781

Listed as

American Heritage Hospice, IncCCN A01642 · All quality measures

Ownership

For-Profit

Certified

Aug 21, 2019

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1245733328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 IRON POINT RD STE 180",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308781",
            "telephone_number": "916-306-5200",
            "fax_number": "916-542-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 IRON POINT RD STE 180",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "818-636-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HERITAGE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "ISKANDARYAN",
        "authorized_official_first_name": "VIGEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-306-5200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellington Amaral, PHD
• Amazing Care Hospice, LLC. (Amazing Care Hospice)
• Amber Ngoc-Thuy Tran PHD
• Lindsey Ambrose, PT, DPT, ATC
• American Heritage Hospice #2 Inc
• American River Counseling
• Sadaf Amin
• Roxana Aminbakhsh, M.D.
• Kathryn Carolin Amirikia, MD, FACS
• Anjani K Amladi-Gomez, MD

• Community Based Hospice Care Agency in Folsom, CA
• Providers in Folsom, 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 10, 2019; 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.