Organization Active NPI

Limitless Hospice,Inc.

  • Community Based Hospice Care Agency
  • Tarzana, CA
National Provider Identifier
1457834558
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIMITLESS HOSPICE,INC.
Practice address
18425 Burbank Blvd Ste 410
Tarzana, CA 91356-2806
Phone
(818) 938-9064
Fax
(818) 938-9067
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Armen Martirosyan
Title
Ceo
Phone
(818) 938-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

18425 Burbank Blvd Ste 410
Tarzana, CA 91356-2806

Mailing address

18425 Burbank Blvd Ste 410
Tarzana, CA 91356-2806
Phone (818) 938-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122000262 CA Part A Provider - Hospice 7517392590 Practice locations: Tarzana, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457834558. Details of each certification follow.

Hospice certification: CCN A11601

Legal name
LIMITLESS HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 1, 2020
Last certification
Sep 1, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 12, 2018 in CA
Enrollment address
18425 Burbank Blvd
Ste 410
Tarzana, CA 91356-2806

Care Compare: Hospice

Medicare Care Compare
Listed as
Limitless Hospice IncCCN A11601 · All quality measures
Ownership
For-Profit
Certified
Sep 1, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18425 Burbank Blvd
Ste 410
Tarzana, CA 91356
Phone (818) 938-9064

Ownership & related parties

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.

NameRoleSinceShare
David Martirosyan Individual W-2 Managing EmployeeAdministrator/DPCS Mar 4, 2022
Armen Martirosyan Individual 5% Or Greater Direct Ownership InterestOwner Jun 12, 2018 100%
Corporate OfficerCeo/Cfo/Secretary/Owner Jun 12, 2018 100%
Corporate DirectorCeo/Cfo/Secretary/Owner Jun 12, 2018 100%

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": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1457834558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 410",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-938-9064",
            "fax_number": "818-938-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 410",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-938-9064",
            "fax_number": "818-938-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMITLESS HOSPICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-938-9064"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.