Active NPI
Hope & Health Hospice, Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1336579705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Group
- Ownership
- For-Profit
- Certified
- Mar 13, 2017
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2172256 | Hope & Health Hospice, Inc | Certificate of waiver | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nassir Azhdam | 5% Or Greater Direct Ownership Interest | Jan 8, 2018 | 100% |
| Corporate Officer | Jan 8, 2018 | 100% | |
| Corporate Director | Jan 8, 2018 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.