Organization Active NPI

Amhh Hospice, Inc

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
National Provider Identifier
1457950768
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMHH HOSPICE, INC
Practice address
14542 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-5518
Phone
(818) 582-3411
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Alla Nisis
Title
Ceo
Phone
(818) 582-3411

Specialties & licenses 1

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

Addresses

Primary practice location

14542 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-5518

Mailing address

14542 Ventura Blvd Ste 206
Sherman Oaks, CA 91403-5518
Phone (818) 582-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924000044 CA Part A Provider - Hospice 8527465111 Practice locations: Sherman Oaks, CA

Hospice certification: CCN B31738

Legal name
AMHH HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 2, 2022
Last certification
Mar 2, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 31, 2020 in CA
Enrollment address
14542 Ventura Blvd
Ste 206
Sherman Oaks, CA 91403-5518

Care Compare: Hospice

Medicare Care Compare
Listed as
Amhh Hospice, IncCCN B31738
Certified
Mar 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14542 Ventura Blvd
Ste 206
Sherman Oaks, CA 91403
Phone (818) 582-3411

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
Parichehr Angela Tabibian Individual W-2 Managing EmployeeMD; Apr 1, 2024
Alla Nisis Individual 5% Or Greater Direct Ownership InterestCeo Aug 31, 2021 100%
Corporate OfficerCeo Apr 1, 2024 100%
Corporate DirectorCeo Apr 1, 2024 100%
W-2 Managing EmployeeAd;Ceo Apr 1, 2024 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1457950768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14542 VENTURA BLVD STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035518",
            "telephone_number": "818-582-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14542 VENTURA BLVD STE 206",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035518",
            "telephone_number": "818-582-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMHH HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "NISIS",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-582-3411"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.