Active NPI
Share the Care Hospice, Inc.
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1497377402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SHARE THE CARE HOSPICE, INC.
- Practice address
- 14545 Friar St Ste 180
Van Nuys, CA 91411-2397 - Phone
- (747) 262-7227
- NPI assigned
- May 13, 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
- Elen Hovhannisyan
- Title
- President/Ceo
- Phone
- (747) 262-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
14545 Friar St Ste 180
Van Nuys, CA 91411-2397
Mailing address
14545 Friar St Ste 180
Van Nuys, CA 91411-2397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200528003112 | CA | Part A Provider - Hospice | 8820419880 | Practice locations: Van Nuys, CA |
Hospice certification: CCN B21666
- Legal name
- SHARE THE CARE HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 29, 2021
- Last certification
- Jun 29, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Apr 21, 2020 in CA
- Enrollment address
- 14545 Friar St
Ste 180
Van Nuys, CA 91411-2397
Care Compare: Hospice
Medicare Care Compare- Listed as
- Share the Care Hospice, Inc.
- Ownership
- For-Profit
- Certified
- Jun 29, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
14545 Friar St
Ste 180
Van Nuys, CA 91411
Phone (747) 262-7227
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 |
|---|---|---|---|
| Lara K Williams | 5% Or Greater Direct Ownership Interest | Jul 9, 2022 | 50% |
| Corporate Officer | Jul 9, 2022 | 50% | |
| Corporate Director | Jul 9, 2022 | 50% | |
| Operational/Managerial Control | Jul 9, 2022 | 50% | |
| Tithkangna Farmer | 5% Or Greater Direct Ownership Interest | Jul 9, 2022 | 50% |
| Corporate Officer | Jul 9, 2022 | 50% | |
| Corporate Director | Jul 9, 2022 | 50% | |
| Operational/Managerial Control | Jul 9, 2022 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1497377402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14545 FRIAR ST STE 180",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14545 FRIAR ST STE 180",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112397",
"telephone_number": "747-262-7227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARE THE CARE HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "HOVHANNISYAN",
"authorized_official_first_name": "ELEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "747-262-7227"
},
"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 May 13, 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.