Calmedix Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CALMEDIX HOSPICE, INC.

Practice address

9836 White Oak Ave Ste 207
Northridge, CA 91325-4848

Phone

(818) 208-0208

Fax

(818) 239-4451

NPI assigned

May 30, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Amy Kalajian

Title

Ceo

Phone

(818) 208-0208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21744

Legal name

CALMEDIX HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 27, 2021

Last certification

Aug 27, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

9836 White Oak Ave
Ste 207
Northridge, CA 91325-4844

Listed as

Calmedix Hospice, IncCCN B21744 · All quality measures

Ownership

For-Profit

Certified

Aug 27, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1245854835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 WHITE OAK AVE STE 207",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254848",
            "telephone_number": "818-208-0208",
            "fax_number": "818-239-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 WHITE OAK AVE STE 207",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254848",
            "telephone_number": "818-208-0208",
            "fax_number": "818-239-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMEDIX HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "KALAJIAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-208-0208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.