Organization Active NPI

Tranquility Care Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1346885134
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANQUILITY CARE HOSPICE INC
Practice address
3704 Foothill Blvd
Glendale, CA 91214-1740
Phone
(818) 330-9153
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Rima Vardanian
Title
Ceo
Phone
(818) 330-9153

Specialties & licenses 1

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

Addresses

Primary practice location

3704 Foothill Blvd
Glendale, CA 91214-1740

Mailing address

3704 Foothill Blvd
Glendale, CA 91214-1740
Phone (818) 330-9153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200505000013 CA Part A Provider - Hospice 5698104800 Practice locations: Glendale, CA

Hospice certification: CCN A11552

Legal name
TRANQUILITY CARE HOSPICE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 11, 2020
Last certification
Jun 11, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 28, 2019 in CA
Enrollment address
3704 Foothill Blvd
Glendale, CA 91214-1740

Care Compare: Hospice

Medicare Care Compare
Listed as
Tranquility Care Hospice IncCCN A11552
Ownership
For-Profit
Certified
Jun 11, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3704 Foothill Blvd
La Crescenta, CA 91214
Phone (818) 330-9153

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Adrine Yesayan Individual W-2 Managing EmployeeAd;DPCS, Administrator Jul 23, 2024
Operational/Managerial ControlDPCS, Administrator Jul 23, 2024
Shuo Steven Wang Individual Contracted Managing EmployeeMD; Feb 12, 2020
Operational/Managerial ControlMedical Director Feb 12, 2020
Rima Vardanian Individual 5% Or Greater Direct Ownership InterestCeo Feb 11, 2022 100%
Corporate OfficerCeo-Chairman of Board Feb 11, 2022 100%
Corporate DirectorCeo-Chairman of Board Feb 11, 2022 100%
W-2 Managing EmployeeCeo Feb 11, 2022 100%
Operational/Managerial ControlCeo Feb 11, 2022 100%
Robert Ruelaz Individual Contracted Managing EmployeeMedical Director Designee Mar 1, 2025
Operational/Managerial ControlMedical Director Designee Mar 1, 2025
Arman Nacharyan Individual W-2 Managing EmployeeDPCS Designee, Administrator Design Nov 1, 2023
Operational/Managerial ControlDPCS Designee, Administrator Design Nov 1, 2023

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

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": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1346885134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 FOOTHILL BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "818-330-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 FOOTHILL BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "818-330-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "VARDANIAN",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-330-9153"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.