Organization Active NPI

Unique Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Arcadia, CA
National Provider Identifier
1346543865
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNIQUE HOSPICE AND PALLIATIVE CARE, INC.
Practice address
711 W Camino Real Ave # 205
Arcadia, CA 91007-9325
Phone
(626) 335-7077
Fax
(626) 335-7003
NPI assigned
Dec 7, 2010
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mr. Avraham Panahi
Title
President/Ceo
Phone
(626) 335-7077

Specialties & licenses 1

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

Addresses

Primary practice location

711 W Camino Real Ave # 205
Arcadia, CA 91007-9325

Mailing address

711 W Camino Real Ave # 205
Arcadia, CA 91007-9325
Phone (626) 335-7077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924000186 CA Part A Provider - Hospice 4789866609 Practice locations: Arcadia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346543865. Details of each certification follow.

Hospice certification: CCN 751723

Legal name
UNIQUE HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 10, 2015
Last certification
Jun 14, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 29, 2010 in CA
Enrollment address
711 W Camino Real Ave
Ste 205
Arcadia, CA 91007-9325

Care Compare: Hospice

Medicare Care Compare
Listed as
Unique Hospice and Palliative Care, Inc.CCN 751723 · All quality measures
Ownership
For-Profit
Certified
Jun 10, 2015
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
05D2307528Unique Hospice and Palliative Care, Inc711 W Camino Real Ave #205, Arcadia, CA 91007Certificate of waiverJul 9, 2026

National Provider Directory

National Provider Directory

Locations

711 W Camino Real Ave
Ste 205
Arcadia, CA 91007
Phone (626) 335-7077

690 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 335-7077

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aditaim Lopez Martinez Individual W-2 Managing EmployeeDirector of Patient Care Service Jan 1, 2022 100%
Thuy Van L Nguyen Individual Contracted Managing EmployeeMD; Jan 1, 2025 100%
Avraham Panahi Individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Corporate OfficerPresident Jun 15, 2016 100%
Corporate DirectorCeo Jun 15, 2016 100%
W-2 Managing EmployeeAdministrator Jun 15, 2016 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1346543865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W CAMINO REAL AVE # 205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079325",
            "telephone_number": "626-335-7077",
            "fax_number": "626-335-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W CAMINO REAL AVE # 205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079325",
            "telephone_number": "626-335-7077",
            "fax_number": "626-335-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "PANAHI",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-335-7077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.