Organization Active NPI

Elka Hospice Care, Inc

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1487059390
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ELKA HOSPICE CARE, INC
Practice address
11755 Victory Blvd
Suite 213
North Hollywood, CA 91606-3423
Phone
(818) 797-1800
NPI assigned
Nov 4, 2014
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Rodrigo Ramos
Title
Ceo
Phone
(818) 797-1800

Specialties & licenses 1

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

Addresses

Primary practice location

11755 Victory Blvd
Suite 213
North Hollywood, CA 91606-3423

Mailing address

11755 Victory Blvd
Suite 213
North Hollywood, CA 91606-3423
Phone (818) 797-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503001184 CA Part A Provider - Hospice 2062711625 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487059390. Details of each certification follow.

Hospice certification: CCN 921687

Legal name
ELKA HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 28, 2017
Last certification
Jan 27, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
11755 Victory Blvd
Ste 213
North Hollywood, CA 91606-3423

Care Compare: Hospice

Medicare Care Compare
Listed as
Elka Hospice Care, IncCCN 921687 · All quality measures
Ownership
For-Profit
Certified
Jun 28, 2017
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
05D2133414Elka Hospice Care, Inc.11755 Victory Blvd Ste 213, North Hollywood, CA 91606Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory

Locations

11755 Victory Blvd
Ste 213
North Hollywood, CA 91606
Phone (818) 797-1800

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
Neil D Katchman Individual Contracted Managing EmployeeMD; Feb 19, 2025
Faith Ojo Individual 5% Or Greater Direct Ownership Interest Nov 1, 2019 100%
Corporate OfficerCeo and Board Member Nov 1, 2019 100%
Corporate Director Nov 1, 2019 100%
W-2 Managing EmployeeCeo and Board Member Nov 1, 2019 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 3

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1487059390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "SUITE 213",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-797-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "SUITE 213",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-797-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKA HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-797-1800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.