Calhope Family Hospice Care, Inc.
Organization Active NPI Community Based Hospice Care Agency · La Crescenta, CA
NPI 1366058737 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1366058737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Nelli Minasian
- Title
- Ceo
- Phone
- (818) 330-9590
Owners & managing parties with NPI records 1
-
Raafat M Hana, M.D
Medicare Care Compare: Hospice
- Listed as
- Calhope Family Hospice Care, Inc
- Certified
- Nov 2, 2021
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Enrollment address
- 2505 Foothill Blvd
Ste F
La Crescenta, CA 91214-4557
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Herminee Titizyan |
W-2 Managing Employee |
Sep 1, 2025 | |
| Marlene Kokanian |
W-2 Managing Employee |
Sep 1, 2025 | |
| Raafat M Hana |
Contracted Managing Employee |
Jan 1, 2026 | |
| Harout Tchentchenyan |
5% Or Greater Direct Ownership Interest |
May 2, 2025 | 100% |
| Corporate Officer |
May 2, 2025 | 100% | |
| Corporate Director |
May 2, 2025 | 100% | |
| W-2 Managing Employee |
May 2, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210816002986 | CA | Part a Provider - Hospice | 8820493760 | Practice locations: La Crescenta, CA |
National Provider Directory
Locations
2505 Foothill Blvd
Ste F
La Crescenta, CA 91214
Phone (818) 330-9590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
2505 Foothill Blvd Ste F
La Crescenta, CA 91214-4557
Mailing address
2505 Foothill Blvd Ste F
La Crescenta, CA 91214-4557
Phone (818) 330-9590
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All providers in La Crescenta, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.