Organization Active NPI

Fresh Start Hospice Care Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1417564006
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FRESH START HOSPICE CARE INC
Practice address
11131 Vanowen St Ste B
North Hollywood, CA 91605-6329
Phone
(818) 637-0093
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Levon Unusyan
Title
Ceo
Phone
(818) 637-0093

Specialties & licenses 1

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

Addresses

Primary practice location

11131 Vanowen St Ste B
North Hollywood, CA 91605-6329

Mailing address

11131 Vanowen St Ste B
North Hollywood, CA 91605-6329
Phone (818) 637-0093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924001152 CA Part A Provider - Hospice 7315344934 Practice locations: North Hollywood, CA

Hospice certification: CCN B31628

Legal name
FRESH START HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 1, 2021
Last certification
Dec 1, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 7, 2020 in CA
Enrollment address
11131 Vanowen St
Ste B
North Hollywood, CA 91605-6329

Care Compare: Hospice

Medicare Care Compare
Listed as
Fresh Start Hospice Care, IncCCN B31628
Certified
Dec 1, 2021
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
05D2311889Fresh Start Hospice Care, Inc11131 Vanowen St Suite B, North Hollywood, CA 91605Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Locations

11131 Vanowen St
Ste B
North Hollywood, CA 91605
Phone (818) 637-0093

11131 Vanowen St
North Hollywood, CA 91605

Ownership & related parties

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.

NameRoleSinceShare
Michael Jay Soffer Individual Contracted Managing EmployeeMD; Dec 1, 2025
Levon Unusyan Individual 5% Or Greater Direct Ownership InterestCeo May 5, 2023 100%
Corporate OfficerCeo May 5, 2023 100%
Corporate DirectorCeo May 5, 2023 100%
W-2 Managing EmployeeAd;Ceo Apr 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1417564006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11131 VANOWEN ST STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056329",
            "telephone_number": "818-637-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11131 VANOWEN ST STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916056329",
            "telephone_number": "818-637-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "UNUSYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-637-0093"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.