Organization Active NPI

All in One Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1437539301
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Dec 6, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 921594
Ownership
For-Profit
Certified
Jan 31, 2017
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
05D2023717All in One Hospice Care Inc14553 Delano St Ste 317, Van Nuys, CA 91411Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Tetyana Ustynova Individual 5% Or Greater Direct Ownership Interest Nov 3, 2017 67%
Corporate OfficerCeo Nov 3, 2017 67%
Corporate DirectorCeo Nov 3, 2017 67%
W-2 Managing EmployeeAd; Nov 3, 2017 67%
Operational/Managerial ControlCeo Nov 3, 2017 67%
Inga Artemchuk Individual 5% Or Greater Direct Ownership Interest Nov 3, 2017 33%
Corporate OfficerCoo/Secretary Nov 3, 2017 33%
Corporate DirectorCoo/Secretary Nov 3, 2017 33%
W-2 Managing EmployeeCoo Nov 3, 2017 33%
Operational/Managerial ControlCoo Nov 3, 2017 33%
Dushyant Arun Viswanathan Individual W-2 Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.