Trilogy Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRILOGY HOSPICE INC

Practice address

6360 Van Nuys Blvd Ste 10
Van Nuys, CA 91401-2638

Phone

(818) 219-3131

Fax

(747) 208-0085

NPI assigned

Dec 29, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Babken Sisakyan

Title

Ceo/Owner

Phone

(818) 219-3131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457948093. Details of each certification follow.

• CCN B41666 Hospice · Active · Details

Hospice certification: CCN B41666

Legal name

TRILOGY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 6, 2022

Last certification

Jun 6, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

14328 Victory Blvd
Ste K
Van Nuys, CA 91401-6565

Listed as

Trilogy Hospice, Inc.CCN B41666 · All quality measures

Certified

Jun 6, 2022

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 3

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.

• L. Lee Nelson, MD

  • Emergency Medicine Physician
  • Norwalk, CA
  • NPI 1407972656

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Felix Kushnir

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1497305353
  NPD (past)

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1457948093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 10",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012638",
            "telephone_number": "818-219-3131",
            "fax_number": "747-208-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 VAN NUYS BLVD STE 10",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012638",
            "telephone_number": "818-219-3131",
            "fax_number": "747-208-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "SISAKYAN",
        "authorized_official_first_name": "BABKEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-219-3131"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 29, 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.

Verify at the official NPI Registry.