Organization Active NPI

Cherub Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1265076277
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 11, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
9608 Van Nuys Blvd
Ste 202
Panorama City, CA 91402-1043

Care Compare: Hospice

Medicare Care Compare
Listed as
Cherub, IncCCN B21575
Ownership
For-Profit
Certified
May 14, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ronald T Vano Individual 5% Or Greater Direct Ownership InterestAdministrator/Ceo/ Board Member Aug 2, 2022 50%
Corporate OfficerAdministrator/Ceo/Cfo/Secretary Aug 2, 2022 100%
Corporate DirectorAdministrator/Ceo/Cfo/Secretary Aug 2, 2022 100%
W-2 Managing EmployeeAdministrator/Ceo/Cfo/Secretary Aug 2, 2022 100%
Operational/Managerial ControlAdministrator/Ceo/Cfo Aug 2, 2022 100%
Marx Buenviaje Individual 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

Verify at the official NPI Registry.