Organization Active NPI

Ogada Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Monterey Park, CA
National Provider Identifier
1376134981
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OGADA HOSPICE CARE, INC.
Practice address
1901 S Atlantic Blvd Ste D
Monterey Park, CA 91754-6300
Phone
(323) 488-0022
Fax
(323) 693-7538
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Aida Oganesyan
Title
Owner
Phone
(323) 488-0022

Specialties & licenses 1

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

Addresses

Primary practice location

1901 S Atlantic Blvd Ste D
Monterey Park, CA 91754-6300

Mailing address

1901 S Atlantic Blvd Ste D
Monterey Park, CA 91754-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BUSINESSEMAILADDRESS Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929000085 CA Part A Provider - Hospice 1557768876 Practice locations: Monterey Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376134981. Details of each certification follow.

Hospice certification: CCN B41570

Legal name
OGADA HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 26, 2022
Last certification
Jul 26, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 4, 2020 in CA
Enrollment address
1901 S Atlantic Blvd
Ste D
Monterey Park, CA 91754-6300

Care Compare: Hospice

Medicare Care Compare
Listed as
Ogada Hospice Care, IncCCN B41570 · All quality measures
Certified
Jul 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2220753Ogada Hospice Care, Inc1901 South Atlantic Drive, Monterey Park, CA 91754Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1901 S Atlantic Blvd
Ste D
Monterey Park, CA 91754
Phone (323) 488-0022

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Aida Oganesyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 4, 2020 100%
Corporate OfficerCeo Dec 4, 2020 100%
Corporate DirectorCeo Dec 4, 2020 100%
W-2 Managing EmployeeCeo Dec 4, 2020 100%
Operational/Managerial ControlCeo Dec 4, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1376134981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S ATLANTIC BLVD STE D",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S ATLANTIC BLVD STE D",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546300",
            "telephone_number": "323-488-0022",
            "fax_number": "323-693-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGADA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-488-0022"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BUSINESSEMAILADDRESS",
            "affiliation": "N",
            "endpointDescription": "BUSINESSEMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAILADDRESS",
            "address_1": "1901 S Atlantic Blvd Ste D",
            "city": "Monterey Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917546300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.