Organization Active NPI

Red Carpet Hospice Care

  • Community Based Hospice Care Agency
  • Tarzana, CA
National Provider Identifier
1336753573
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RED CARPET HOSPICE CARE
Practice address
18455 Burbank Blvd Ste 313
Tarzana, CA 91356-6645
Phone
(818) 975-8888
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Arsen Tadevosyan
Title
Ceo
Phone
(818) 975-8888

Specialties & licenses 1

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

Addresses

Primary practice location

18455 Burbank Blvd Ste 313
Tarzana, CA 91356-6645

Mailing address

18455 Burbank Blvd Ste 313
Tarzana, CA 91356-6645
Phone (818) 975-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520002568 CA Part A Provider - Hospice 9830598093 Practice locations: Tarzana, CA

Hospice certification: CCN B21728

Legal name
RED CARPET HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 25, 2021
Last certification
Aug 25, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 10, 2020 in CA
Enrollment address
18455 Burbank Blvd
Ste 313
Tarzana, CA 91356-6645

Care Compare: Hospice

Medicare Care Compare
Listed as
Red Carpet Hospice CareCCN B21728
Ownership
For-Profit
Certified
Aug 25, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18455 Burbank Blvd
Ste 313
Tarzana, CA 91356
Phone (818) 975-8888

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
Arsen Tadevosyan Individual 5% Or Greater Direct Ownership InterestCeo Jul 10, 2020 100%
Corporate OfficerCeo Jul 10, 2020 100%
Corporate DirectorCeo Jul 10, 2020 100%
W-2 Managing EmployeeCeo Jul 10, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1336753573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18455 BURBANK BLVD STE 313",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566645",
            "telephone_number": "818-975-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 BURBANK BLVD STE 313",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566645",
            "telephone_number": "818-975-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CARPET HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-975-8888"
    },
    "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.