Faithful Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITHFUL HOSPICE CARE, INC.

Practice address

5924 E Los Angeles Ave
Ste F
Simi Valley, CA 93063-5526

Phone

(213) 440-0084

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Ani Balian

Title

President

Phone

(213) 440-0084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01546

Legal name

FAITHFUL HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 9, 2018

Last certification

Aug 9, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 19, 2017 in CA

Enrollment address

5924 E Los Angeles Ave
Ste F
Simi Valley, CA 93063-5526

Listed as

Faithful Hospice Care, IncCCN A01546

Ownership

For-Profit

Certified

Aug 9, 2018

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 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Frederick Stephen Lindberg, MD

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1467499582

  Hospice

  Care Compare affiliation
• Vimal J Ponnezhan, MD

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1366653354

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1487025458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "STE F",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "213-440-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "STE F",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "213-440-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "BALIAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-440-0084",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Evans, LMFT
• Charles Dee Everts, D.C.
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• Sahar Faghani
• Shima Famenini, PHARM.D.
• Neil Anthony Fanning, DDS
• Michael G Faragallah
• Arrash Fard, M.D.
• Farridah Shafiee DO Inc

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 15, 2015; 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.