St Vincent Hospice Services, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST VINCENT HOSPICE SERVICES, INC

Practice address

420 S Rosemead Blvd
Suite D-E
Pasadena, CA 91107-4980

Phone

(626) 796-1922

NPI assigned

Jul 5, 2014

Organization subpart

No

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

Authorized official

Name

Vadim DanielianNPI 1689141483

Title

Ceo

Phone

(323) 821-7772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751777

Legal name

ST. VINCENT HOSPICE SERVICES, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 5, 2016

Last certification

Feb 28, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 30, 2014 in CA

Enrollment address

420 S. Rosemead Blvd
Suite D & E
Pasadena, CA 91107-4200

Listed as

St Vincent Hospice Services, IncCCN 751777

Ownership

For-Profit

Certified

Mar 5, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Vadim Danielian

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1689141483

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

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

• Vadim Danielian

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1689141483
  NPD Authorized official
• Marianna Shakhnovits, M.D.

  • Adult Medicine Physician
  • Pasadena, CA
  • NPI 1568627222
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Luis A Artavia, M.D.

  • Family Medicine Physician
  • Sylmar, CA
  • NPI 1407885577

  Hospice

  Care Compare affiliation
• Khalid Nur, M.D.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1235147521

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1404518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404518400000",
    "number": "1447666995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S ROSEMEAD BLVD",
            "address_2": "SUITE D-E",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074980",
            "telephone_number": "626-796-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S ROSEMEAD BLVD",
            "address_2": "SUITE D-E",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074980",
            "telephone_number": "626-796-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HOSPICE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-05",
        "last_updated": "2014-07-05",
        "status": "A",
        "authorized_official_last_name": "DANIELIAN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-821-7772"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Spraggins
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• St. John Home Health Care Services, Inc.
• Stability Hospice Care Inc

• Community Based Hospice Care Agency in Pasadena, CA
• Providers in Pasadena, 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 Jul 5, 2014; 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.