California Hospice Corp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550001932 Issued in CA

Legal business name

CALIFORNIA HOSPICE CORP

Practice address

905 S. Lake St
Suite 201 and 202 and 202
Burbank, CA 91502

Phone

(818) 557-6444

Fax

(818) 557-6333

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Khachatryan, CEO

Title

Ceo

Phone

(818) 557-6444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Hospice certification: CCN 551690

Legal name

CALIFORNIA HOSPICE CORP

Doing business as

CALIFORNIA HOME HEALTH

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 31, 2013

Last certification

Mar 14, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 9, 2013 in CA

Enrollment address

905 S Lake St
Ste 202
Burbank, CA 91502-2436

Home health agency certification: CCN 059514

Legal name

CALIFORNIA HOSPICE CORP

Doing business as

CALIFORNIA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 3, 2013

Last certification

May 31, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 9, 2013 in CA

Enrollment address

217 W Alameda Ave
Ste 202
Burbank, CA 91502-3063

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• California Hospice Corp

  • Home Health Agency
  • Burbank, CA
  • NPI 1558787556

  0143483586

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• California Hospice Corp

  • Home Health Agency
  • Burbank, CA
  • NPI 1558787556

  O20120522000781, O20120713000190

  Same enrollment

Listed as

California Home HealthCCN 059514

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 3, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Listed as

California Hospice Corp.CCN 551690

Ownership

For-Profit

Certified

Jan 31, 2013

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 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ramachandra Rao Nemani, M.D

  • Internal Medicine Physician
  • Santa Monica, CA
  • NPI 1235276478

  Home health agency

  Care Compare affiliation
• Violeta B. Vicencio, MD

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1679699193

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1255615548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S. LAKE ST",
            "address_2": "SUITE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-557-6444",
            "fax_number": "818-557-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S. LAKE ST",
            "address_2": "SUITE 201 AND 202 AND 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-557-6444",
            "fax_number": "818-557-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HOSPICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-557-6444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Calderon
• Calicare Healthy Meals Onwheels
• California Bone and Joint Institute
• California Healthcare and Hospice
• California Home Health Services, Inc.
• California Hospice Corp
• California Individual & Family Counseling Collective Inc.
• California RX Network
• California RX Network Inc.
• California RX Network 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 Oct 6, 2020; 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.