Calhope Family Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CALHOPE FAMILY HOSPICE CARE, INC.

Practice address

2505 Foothill Blvd Ste F
La Crescenta, CA 91214-4557

Phone

(818) 330-9590

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelli Minasian

Title

Ceo

Phone

(818) 330-9590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366058737. Details of each certification follow.

• CCN B31599 Hospice · Active · Details

Hospice certification: CCN B31599

Legal name

CALHOPE FAMILY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 2, 2021

Last certification

Nov 2, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

2505 Foothill Blvd
Ste F
La Crescenta, CA 91214-4557

Listed as

Calhope Family Hospice Care, IncCCN B31599 · All quality measures

Certified

Nov 2, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Raafat M Hana, M.D

  • Internal Medicine Physician
  • Porterville, CA
  • NPI 1568539997

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1366058737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 FOOTHILL BLVD STE F",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144557",
            "telephone_number": "818-330-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FOOTHILL BLVD STE F",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144557",
            "telephone_number": "818-330-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOPE FAMILY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MINASIAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-330-9590"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.