Organization Active NPI

Mission Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1457965451
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MISSION HOSPICE & PALLIATIVE CARE INC
Practice address
14545 Friar St Ste 278
Van Nuys, CA 91411-2397
Phone
(818) 646-7750
Fax
(818) 847-7961
NPI assigned
Sep 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Haykaram Stepanyan
Title
Ceo
Phone
(818) 646-7750

Specialties & licenses 1

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

Addresses

Primary practice location

14545 Friar St Ste 278
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 278
Van Nuys, CA 91411-2397
Phone (818) 646-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019003213 CA Part A Provider - Hospice 9436579141 Practice locations: Van Nuys, CA

Hospice certification: CCN B31793

Legal name
MISSION HOSPICE & PALLIATIVE CARE INC
Doing business as
QUIET EMBRACE HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 23, 2022
Last certification
Mar 23, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
7100 Hayvenhurst Ave
Ste 206
Van Nuys, CA 91406-3804

Care Compare: Hospice

Medicare Care Compare
Listed as
Quiet Embrace Hospice CareCCN B31793
Certified
Mar 23, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2301998The Mission Hospice7100 Hayvenhurst Ave Suite 206, Van Nuys, CA 91406Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 278
Van Nuys, CA 91411
Phone (818) 646-7750

14545 Friar St
Van Nuys, CA 91411
Phone (818) 453-5730

7100 Hayvenhurst Ave
Ste 206
Van Nuys, CA 91406
Phone (818) 290-3261

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
Dante Banta Individual Contracted Managing EmployeeMD; Apr 16, 2026
Daisy Zara Individual 5% Or Greater Direct Ownership Interest Oct 31, 2022 100%
Corporate OfficerCeo/Cfo/Sec/Director/Administrat Oct 31, 2022 100%
Corporate DirectorCeo/Cfo/Sec/Director/Administrat Oct 31, 2022 100%
W-2 Managing EmployeeAd;Ad;Ceo/Cfo/Sec/Director Oct 31, 2022 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": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1457965451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 278",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-646-7750",
            "fax_number": "818-847-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 278",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-646-7750",
            "fax_number": "818-847-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "HAYKARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-7750"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.