Maximum Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MAXIMUM CARE HOSPICE, INC.

Practice address

5301 Laurel Canyon Blvd
Ste 230
Valley Village, CA 91607-2736

Phone

(818) 232-8123

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Maksim Labutin

Title

Ceo

Phone

(818) 232-8123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551735

Legal name

MAXIMUM CARE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 20, 2013

Last certification

May 23, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 20, 2011 in CA

Enrollment address

5301 Laurel Canyon Blvd 230
Valley Village, CA 91607-2786

Listed as

Maximum Care Hospice, IncCCN 551735 · All quality measures

Ownership

For-Profit

Certified

Jun 20, 2013

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

Locations

All disclosed owners & managing parties 4

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 1

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

• Rishi Gupta, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hollywood, CA
  • NPI 1922208982

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 4

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

• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  Hospice

  Care Compare affiliation
• Rishi Gupta, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • West Hollywood, CA
  • NPI 1922208982
  Care Compare affiliation
• Vlad Nusinovich, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1144288036

  Hospice

  Care Compare affiliation
• Kirk Uomoto, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1578510426

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1326315466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD",
            "address_2": "STE 230",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD",
            "address_2": "STE 230",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "818-232-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "LABUTIN",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-232-8123"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice S. Haber, M.D. a Medical Corporation (A Medical Corporation)
• Maviana Home Health
• Mavianna Home Health
• Yolande Michelle Mavity, MPT
• Maximum Care Coordinating Agency
• Salomon Maya, D.M.D.
• Frank Anthony Mazzola, MFT CEAP SAP
• Markita Darlene McGee, LVN
• Gabriel Daniel McGrade
• Daniel McKinney

• Community Based Hospice Care Agency in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.