Organization Active NPI

Hope & Health Hospice, Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1336579705
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOPE & HEALTH HOSPICE, INC
Practice address
6742 Van Nuys Blvd
Suite 102
Van Nuys, CA 91405-4641
Phone
(818) 302-0021
Fax
(818) 475-5256
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Armen Gharibyan
Title
Ceo
Phone
(818) 302-0021

Specialties & licenses 1

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

Addresses

Primary practice location

6742 Van Nuys Blvd
Suite 102
Van Nuys, CA 91405-4641

Mailing address

6742 Van Nuys Blvd
Suite 102
Van Nuys, CA 91405-4641
Phone (818) 302-0021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902001381 CA Part A Provider - Hospice 8921394735 Practice locations: Encino, CA

Hospice certification: CCN 921625

Legal name
HOPE & HEALTH HOSPICE INC
Doing business as
UNIVERSAL HOSPICE GROUP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 13, 2017
Last certification
Jan 8, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 1, 2013 in CA
Enrollment address
15720 Ventura Blvd
Ste 208
Encino, CA 91436-2971

Care Compare: Hospice

Medicare Care Compare
Listed as
Universal Hospice GroupCCN 921625
Ownership
For-Profit
Certified
Mar 13, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2172256Hope & Health Hospice, Inc15720 Ventura Blvd Ste 208, Encino, CA 91436Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 208
Encino, CA 91436
Phone (818) 428-1324

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
Nassir Azhdam Individual 5% Or Greater Direct Ownership InterestCeo, Cfo, Secretary Jan 8, 2018 100%
Corporate OfficerCeo, Cfo, Secretary Jan 8, 2018 100%
Corporate DirectorCeo, Cfo, Secretary Jan 8, 2018 100%
W-2 Managing EmployeeCeo, Cfo, Secretary Jan 8, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1336579705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054641",
            "telephone_number": "818-302-0021",
            "fax_number": "818-475-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054641",
            "telephone_number": "818-302-0021",
            "fax_number": "818-475-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & HEALTH HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "GHARIBYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-302-0021"
    },
    "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.