Active NPI
Mission Hospice & Palliative Care Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 7100 Hayvenhurst Ave
Ste 206
Van Nuys, CA 91406-3804
Care Compare: Hospice
Medicare Care Compare- Listed as
- Quiet Embrace Hospice Care
- Certified
- Mar 23, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2301998 | The Mission Hospice | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dante Banta | Contracted Managing Employee | Apr 16, 2026 | |
| Daisy Zara | 5% Or Greater Direct Ownership Interest | Oct 31, 2022 | 100% |
| Corporate Officer | Oct 31, 2022 | 100% | |
| Corporate Director | Oct 31, 2022 | 100% | |
| W-2 Managing Employee | 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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1912071085
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duarte, CA
- NPI 1225250236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.