Alfa Alliance Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALFA ALLIANCE HOSPICE INC

Practice address

6454 Van Nuys Blvd Ste 41
Van Nuys, CA 91401-1445

Phone

(747) 322-4895

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Artur Levonyan

Title

Ceo

Phone

(473) 224-8957

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51639

Legal name

ALFA ALLIANCE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2022

Last certification

Sep 29, 2022

Organization structure

CorporationProprietary

Incorporated

Feb 3, 2021 in CA

Enrollment address

4105 W Magnola Blvd First Floor
First Floor
Burbank, CA 91505-2746

Listed as

Alfa Alliance Hospice, Inc.CCN B51639

Certified

Sep 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Renita Jejuan Pullens, D.O.

  • General Practice Physician
  • Sherman Oaks, CA
  • NPI 1093791667

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Renita Jejuan Pullens, D.O.

  • General Practice Physician
  • Sherman Oaks, CA
  • NPI 1093791667
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1427633023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 41",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "747-322-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 VAN NUYS BLVD STE 41",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011445",
            "telephone_number": "747-322-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA ALLIANCE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "LEVONYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "473-224-8957"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parvin V Alemi, DC
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• Samantha Alexander, OTR/L
• Alexandrian Dentistry Inc.
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• Giselle Alfaro
• Maria Guadalupe Alfaro, M.F.T.
• Maria Victoria Alfaro, M.D.
• Michelle Alfaro

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Mar 15, 2021; 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.