Organization Active NPI

Saint Iness Hospice Inc

  • Community Based Hospice Care Agency
  • Tarzana, CA
National Provider Identifier
1316578537
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAINT INESS HOSPICE INC
Practice address
6047 Tampa Ave Ste 209
Tarzana, CA 91356-1189
Phone
(747) 212-1868
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Nataliya Yenzhyyevska
Title
Ceo
Phone
(747) 212-1868

Specialties & licenses 1

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

Addresses

Primary practice location

6047 Tampa Ave Ste 209
Tarzana, CA 91356-1189

Mailing address

6047 Tampa Ave Ste 209
Tarzana, CA 91356-1189
Phone (747) 212-1868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200714000343 CA Part A Provider - Hospice 5294158937 Practice locations: Tarzana, CA

Hospice certification: CCN A11576

Legal name
SAINT INESS HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 3, 2020
Last certification
Sep 3, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 24, 2019 in CA
Enrollment address
6047 Tampa Ave
Ste 209
Tarzana, CA 91356-1189

Care Compare: Hospice

Medicare Care Compare
Listed as
Saint Iness Hospice IncCCN A11576 ยท All quality measures
Ownership
For-Profit
Certified
Sep 3, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2001 W Magnolia Blvd
Ste B1
Burbank, CA 91506
Phone (747) 212-4868

6047 Tampa Ave
Ste 209
Tarzana, CA 91356
Phone (747) 212-1868

Ownership & related parties

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.

NameRoleSinceShare
Nataliya Yenzhyyevska Individual 5% Or Greater Direct Ownership Interest Apr 30, 2021 100%
Corporate OfficerCeo/Secretary/Treasurer Apr 30, 2021 100%
Corporate Director Apr 30, 2021 100%
W-2 Managing EmployeeCeo, Coo, Cfo Apr 30, 2021 100%

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": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1316578537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE STE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561189",
            "telephone_number": "747-212-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TAMPA AVE STE 209",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561189",
            "telephone_number": "747-212-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT INESS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "YENZHYYEVSKA",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-212-1868"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.