Canestro Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANESTRO CARE HOSPICE INC

Practice address

7335 Van Nuys Blvd Ste 226
Van Nuys, CA 91405-1998

Phone

(818) 219-9013

NPI assigned

Oct 16, 2020

Last updated

Oct 7, 2024By 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

Sevak Tsaturyan

Title

Ceo

Phone

(818) 219-9013

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 1457959884. Details of each certification follow.

• CCN D61524 Hospice · Active · Details

Hospice certification: CCN D61524

Legal name

CANESTRO CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 14, 2024

Last certification

Apr 30, 2024

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2020 in CA

Enrollment address

7335 Van Nuys Blvd
Unit 226
Van Nuys, CA 91405-1998

Listed as

Canestro Care Hospice Inc.CCN D61524 · All quality measures

Certified

May 14, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1457959884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD STE 226",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 VAN NUYS BLVD STE 226",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051998",
            "telephone_number": "818-219-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANESTRO CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "TSATURYAN",
        "authorized_official_first_name": "SEVAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-219-9013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edgard Canevaro, ABOC
• Wiljoyce Canlas
• Julieta Scherezada Cano, CCT
• Orlando O Cano, RCS, RCIS, FASE
• Yesenia Cano

• 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 Oct 7, 2024; 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.