Active NPI
All in One Hospice Care, Inc.
- Community Based Hospice Care Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ALL IN ONE HOSPICE CARE, INC.
- Practice address
- 14553 Delano St Ste 317
Van Nuys, CA 91411-2897 - Phone
- (888) 599-4734
- Fax
- (888) 599-8563
- NPI assigned
- Jun 4, 2015
- 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
- Tetyana Ustynova
- Title
- Administrator
- Phone
- (888) 599-8563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
14553 Delano St Ste 317
Van Nuys, CA 91411-2897
Mailing address
14553 Delano St Ste 317
Van Nuys, CA 91411-2897
Phone (888) 599-4734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160715000544 | CA | Part A Provider - Hospice | 8628360328 | Practice locations: Van Nuys, CA |
Hospice certification: CCN 921594
- Legal name
- ALL IN ONE HOSPICE CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 31, 2017
- Last certification
- Nov 21, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- May 28, 2015 in CA
- Enrollment address
- 14553 Delano St
Ste 317
Van Nuys, CA 91411-2897
Care Compare: Hospice
Medicare Care Compare- Listed as
- All in One Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Jan 31, 2017
- 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 |
|---|---|---|---|
| 05D2023717 | All in One Hospice Care Inc | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
167 N 3rd Ave
Ste P
Upland, CA 91786
14553 Delano St
Ste 317
Van Nuys, CA 91411
Phone (888) 599-4734
6850 Van Nuys Blvd
Ste 216
Van Nuys, CA 91405
Phone (747) 321-2424
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Tetyana Ustynova | 5% Or Greater Direct Ownership Interest | Nov 3, 2017 | 67% |
| Corporate Officer | Nov 3, 2017 | 67% | |
| Corporate Director | Nov 3, 2017 | 67% | |
| W-2 Managing Employee | Nov 3, 2017 | 67% | |
| Operational/Managerial Control | Nov 3, 2017 | 67% | |
| Inga Artemchuk | 5% Or Greater Direct Ownership Interest | Nov 3, 2017 | 33% |
| Corporate Officer | Nov 3, 2017 | 33% | |
| Corporate Director | Nov 3, 2017 | 33% | |
| W-2 Managing Employee | Nov 3, 2017 | 33% | |
| Operational/Managerial Control | Nov 3, 2017 | 33% | |
| Dushyant Arun Viswanathan | W-2 Managing Employee | Apr 10, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Woodland Hills, CA
- NPI 1285897421
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1437539301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14553 DELANO ST STE 317",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112897",
"telephone_number": "888-599-4734",
"fax_number": "888-599-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14553 DELANO ST STE 317",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112897",
"telephone_number": "888-599-4734",
"fax_number": "888-599-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL IN ONE HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-04",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "USTYNOVA",
"authorized_official_first_name": "TETYANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "888-599-8563"
},
"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 6, 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.