Active NPI
Fresh Start Hospice Care Inc
- Community Based Hospice Care Agency
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Certified
- Dec 1, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2311889 | Fresh Start Hospice Care, Inc | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Jay Soffer | Contracted Managing Employee | Dec 1, 2025 | |
| Levon Unusyan | 5% Or Greater Direct Ownership Interest | May 5, 2023 | 100% |
| Corporate Officer | May 5, 2023 | 100% | |
| Corporate Director | May 5, 2023 | 100% | |
| W-2 Managing Employee | 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.
-
- Specialist
- Beverly Hills, CA
- NPI 1629181862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.