MSM Health Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MSM HEALTH CARE, INC.

Practice address

2920 W Olive Ave Ste 217
Burbank, CA 91505-4548

Phone

(818) 533-8759

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 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

Ruzan Shalvardzhyan

Title

Ceo

Phone

(818) 533-8759

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 1407451891. Details of each certification follow.

• CCN B51723 Hospice · Active · Details

Hospice certification: CCN B51723

Legal name

MSM HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 7, 2023

Last certification

May 26, 2023

Organization structure

CorporationProprietary

Incorporated

Nov 6, 2020 in CA

Enrollment address

2920 W Olive Ave
Ste 217
Burbank, CA 91505-4548

Listed as

MSM Health Care, Inc.CCN B51723 · All quality measures

Certified

Aug 7, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1407451891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE STE 217",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054548",
            "telephone_number": "818-533-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W OLIVE AVE STE 217",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054548",
            "telephone_number": "818-533-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSM HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "SHALVARDZHYAN",
        "authorized_official_first_name": "RUZAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-533-8759"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Dec 2, 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.