Serafim Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERAFIM HOSPICE INC

Practice address

4419 Van Nuys Blvd Ste 401
Sherman Oaks, CA 91403-5739

Phone

(805) 250-5363

NPI assigned

Mar 19, 2018

Last updated

Jul 12, 2022By 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

Mr. Vigen Baghdasaryan

Title

Ceo

Phone

(805) 250-5363

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 1487158218. Details of each certification follow.

• CCN A11635 Hospice · Active · Details

Hospice certification: CCN A11635

Legal name

SERAFIM HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 8, 2020

Last certification

Oct 8, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2018 in CA

Enrollment address

4419 Van Nuys Blvd
Ste 401
Sherman Oaks, CA 91403-5739

Listed as

Serafim Hospice IncCCN A11635 · All quality measures

Ownership

For-Profit

Certified

Oct 8, 2020

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helen Grusd, PH.D

  • Cognitive & Behavioral Psychologist
  • Sherman Oaks, CA
  • NPI 1407074412
  NPD (past)

Affiliated clinicians 3

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

• Garo Z Harmandayan, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • West Hollywood, CA
  • NPI 1326309055
  Care Compare affiliation
• Syed Jaan Naqvi, MD

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1649739806

  Hospice

  Care Compare affiliation
• Homayoun Siman, MD

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1477971125

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1487158218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 401",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035739",
            "telephone_number": "805-250-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD STE 401",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035739",
            "telephone_number": "805-250-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAFIM HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "VIGEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-250-5363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jul 12, 2022; 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.