Panakeia Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PANAKEIA HOSPICE, INC.

Practice address

5301 Laurel Canyon Blvd Ste 101
Valley Village, CA 91607-2736

Phone

(747) 272-9236

Fax

(818) 484-3546

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Robert Manukyan

Title

Ceo

Phone

(747) 272-9236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51719

Legal name

PANAKEIA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 15, 2023

Last certification

Jun 6, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 10, 2019 in CA

Enrollment address

5301 Laurel Canyon Blvd
Ste 101
Valley Village, CA 91607-2736

Listed as

Panakeia Hospice, Inc.CCN B51719

Certified

Jun 15, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abdul Rab Khan, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1063400380

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1356965511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "747-272-9236",
            "fax_number": "818-484-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "747-272-9236",
            "fax_number": "818-484-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAKEIA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-272-9236"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.

Verify at the official NPI Registry.