Jha Geriatric Services, Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

980001583 Issued in CA

Legal business name

JHA GERIATRIC SERVICES, INC

Practice address

6345 Balboa Blvd Ste 315
Encino, CA 91316-1500

Phone

(818) 774-3040

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Forrest

Title

Chief Executive Officer

Phone

(818) 774-3208

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skirball Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051778

Legal name

JHA GERIATRIC SERVICES INC

Doing business as

SKIRBALL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 1, 2004

Last certification

Jul 23, 2020

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Jan 20, 1993 in CA

Enrollment address

6345 Balboa Blvd
Ste 315
Encino, CA 91316-1500

Other NPIs with the same Medicare PAC ID 1

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

• Jha Geriatric Services, Inc

  • Clinic/Center
  • Reseda, CA
  • NPI 1831264092

  2062321151

  Same PAC ID

Listed as

VnacareCCN 051778

Ownership

For-Profit

Certified

Sep 1, 2004

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

Tax ID family

Jha Geriatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jha Geriatric Services, Inc

  • Clinic/Center
  • Reseda, CA
  • NPI 1831264092
  NPD tax ID

All disclosed owners & managing parties 22

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

Owners & managing parties with NPI records 2

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

• Oren Simantov Raphael, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Santa Monica, CA
  • NPI 1255726485

  W-2 Managing Employee

  CMS ownership
• Peter Singer, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
  • NPI 1851320105

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eisenberg Village of the Los Angeles Jewish Home for the Aging

  • Nursing Facility/Intermediate Care Facility
  • Reseda, CA
  • NPI 1215930995

  Adp of the SNF

  CMS ownership
• Grancell Village of the Los Angeles Jewish Home for the Aging

  • Skilled Nursing Facility
  • Reseda, CA
  • NPI 1487681631

  Adp of the SNF

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noachim Marco, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1366848335
  NPD (past)

Affiliated clinicians 2

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

• Parichehr Angela Tabibian, MD

  • Hospitalist Physician
  • Tarzana, CA
  • NPI 1154521730

  Hospice

  Care Compare affiliation
• Hangnga Vu, M.D.

  • Internal Medicine Physician
  • Reseda, CA
  • NPI 1972601037

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1275536732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 TAMPA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353700",
            "telephone_number": "818-757-4447",
            "fax_number": "818-757-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 315",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161500",
            "telephone_number": "818-774-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHA GERIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-774-3208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": "980001583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01778F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skirball Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skirball Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Jeffries
• Shameca Jenkins
• William Anthony Jenkins, M.A. BCBA
• Jennifer Kates Ramlo, PH.D
• Jeremiah Beisel DDS, Inc.
• Jha Geriatric Services, Inc
• Jianyuan Jiang, L. AC.
• Jill Klepetar LCSW a Professional Corporation
• Alen Ken Jimenez
• Vanessa Jimenez

• Inpatient Hospice in Encino, CA
• Providers in Encino, CA by specialty
• Inpatient Hospice in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.