Active NPI
Cherub Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1265076277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHERUB INC
- Practice address
- 9608 Van Nuys Blvd Ste 202
Van Nuys, CA 91402-1043 - Phone
- (818) 446-6696
- Fax
- (818) 337-7220
- NPI assigned
- Nov 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald T Vano
- Title
- Administrator
- Phone
- (661) 644-8626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9608 Van Nuys Blvd Ste 202
Van Nuys, CA 91402-1043
Mailing address
9608 Van Nuys Blvd Ste 202
Van Nuys, CA 91402-1043
Phone (818) 446-6696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200708000031 | CA | Part A Provider - Hospice | 4587087630 | Practice locations: Panorama City, CA |
Hospice certification: CCN B21575
- Legal name
- CHERUB INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 14, 2021
- Last certification
- May 14, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 9608 Van Nuys Blvd
Ste 202
Panorama City, CA 91402-1043
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cherub, Inc
- Ownership
- For-Profit
- Certified
- May 14, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
14654 Victory Blvd
Ste 214
Van Nuys, CA 91411
Phone (818) 446-6696
9608 Van Nuys Blvd
Ste 202
Van Nuys, CA 91402
Phone (323) 844-2060
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald T Vano | 5% Or Greater Direct Ownership Interest | Aug 2, 2022 | 50% |
| Corporate Officer | Aug 2, 2022 | 100% | |
| Corporate Director | Aug 2, 2022 | 100% | |
| W-2 Managing Employee | Aug 2, 2022 | 100% | |
| Operational/Managerial Control | Aug 2, 2022 | 100% | |
| Marx Buenviaje | 5% Or Greater Direct Ownership Interest | Aug 2, 2022 | 50% |
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": "1572566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723334400000",
"number": "1265076277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9608 VAN NUYS BLVD STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914021043",
"telephone_number": "818-446-6696",
"fax_number": "818-337-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9608 VAN NUYS BLVD STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914021043",
"telephone_number": "818-446-6696",
"fax_number": "818-337-7220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERUB INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-01",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A",
"authorized_official_last_name": "VANO",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "661-644-8626"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.