Active NPI
Saint Iness Hospice Inc
- Community Based Hospice Care Agency
- Tarzana, CA
National Provider Identifier
1316578537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- Sep 3, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nataliya Yenzhyyevska | 5% Or Greater Direct Ownership Interest | Apr 30, 2021 | 100% |
| Corporate Officer | Apr 30, 2021 | 100% | |
| Corporate Director | Apr 30, 2021 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.