Active NPI
Hart Hospice
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1427654391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HART HOSPICE
- Practice address
- 16106C Hart St
Van Nuys, CA 91406-3903 - Phone
- (818) 802-2700
- NPI assigned
- Dec 7, 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
- Sona Hambardzumyan
- Title
- President
- Phone
- (818) 802-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
16106C Hart St
Van Nuys, CA 91406-3903
Mailing address
16106C Hart St
Van Nuys, CA 91406-3903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210730000277 | CA | Part A Provider - Hospice | 7315340122 | Practice locations: Van Nuys, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427654391. Details of each certification follow.
Hospice certification: CCN B41574
- Legal name
- HART HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 9, 2022
- Last certification
- May 9, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 21, 2020 in CA
- Enrollment address
- 16106C Hart St
Van Nuys, CA 91406-3903
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hart Hospice
- Certified
- May 9, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
16106 Hart St
#C
Van Nuys, CA 91406
Phone (818) 802-2700
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sona Hambardzumyan | 5% Or Greater Direct Ownership Interest | Sep 21, 2020 | 100% |
| 5% Or Greater Mortgage Interest | Sep 21, 2020 | ||
| 5% Or Greater Security Interest | Sep 21, 2020 | ||
| Corporate Officer | Sep 21, 2020 | ||
| Corporate Director | Sep 21, 2020 | ||
| W-2 Managing Employee | Sep 21, 2020 |
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": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1427654391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16106C HART ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16106C HART ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063903",
"telephone_number": "818-802-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HART HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "HAMBARDZUMYAN",
"authorized_official_first_name": "SONA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-802-2700"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.