Organization Active NPI

Infinite Hospice

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
National Provider Identifier
1255943387
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INFINITE HOSPICE
Practice address
5121 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-6110
Phone
(818) 745-7659
Fax
(818) 745-1044
NPI assigned
Aug 19, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Serob Terzyan
Title
Ceo/Owner
Phone
(818) 745-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5121 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-6110

Mailing address

5121 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-6110
Phone (818) 745-7659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914000163 CA Part A Provider - Hospice 3779901400 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255943387. Details of each certification follow.

Hospice certification: CCN B21607

Legal name
INFINITE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 6, 2021
Last certification
Jul 6, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 19, 2020 in CA
Enrollment address
5121 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403-1496

Care Compare: Hospice

Medicare Care Compare
Listed as
Infinite HospiceCCN B21607 · All quality measures
Ownership
For-Profit
Certified
Jul 6, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2286357Infinite Hospice5121 Van Nuys Blvd Suite 202, Sherman Oaks, CA 91403Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

3371 Glendale Blvd
Ste 210
Los Angeles, CA 90039
Phone (818) 745-7659

5121 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403
Phone (818) 745-7659

Ownership & related parties

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.

NameRoleSinceShare
Serob Terzyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 30, 2022 100%
Corporate OfficerCeo Aug 30, 2022 100%
Corporate DirectorCeo Aug 30, 2022 100%
W-2 Managing EmployeeCeo Aug 30, 2022 100%
Lilith Garibyan Individual W-2 Managing EmployeeAd; Aug 30, 2022
Operational/Managerial ControlAdministrator Aug 30, 2022
Abdul Nawabi Individual Contracted Managing EmployeeMD; Aug 30, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1255943387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 VAN NUYS BLVD STE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036110",
            "telephone_number": "818-745-7659",
            "fax_number": "818-745-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 VAN NUYS BLVD STE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036110",
            "telephone_number": "818-745-7659",
            "fax_number": "818-745-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "TERZYAN",
        "authorized_official_first_name": "SEROB",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-745-7659"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.