Crisis Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CRISIS HOSPICE AND PALLIATIVE CARE INC

Practice address

3221 N San Fernando Rd Ste F
Los Angeles, CA 90065-1414

Phone

(747) 205-1907

Fax

(747) 205-1907

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Edward Jouharyan

Title

Ceo

Phone

(747) 205-1907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41586

Legal name

CRISIS HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 4, 2022

Last certification

Jul 4, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2020 in CA

Enrollment address

6819 Sepulveda Blvd
Ste 101
Van Nuys, CA 91405-4464

Listed as

Crisis Hospice and Palliative Care, IncCCN B41586

Certified

Jul 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Josue Fong Balart, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1518378546

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Josue Fong Balart, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1518378546

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1366032369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 N SAN FERNANDO RD STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651414",
            "telephone_number": "747-205-1907",
            "fax_number": "747-205-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 N SAN FERNANDO RD STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651414",
            "telephone_number": "747-205-1907",
            "fax_number": "747-205-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "JOUHARYAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-205-1907"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linnea Rose Cripe
• Shana Cripe, FNP
• Cittlaly Aimee Crisanto
• Hilda Crisantos
• Christopher Arthur Crisera
• Scott Crismon, D.P.M.
• Samantha Crismond Anaya, LCSW
• Elaine Yvette Crisostomo-Verdugo, MSW, ACSW
• Rhea Laron Crisostomo, NP
• Rowena Dimapilis Crisostomo

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 22, 2021; 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.