Organization Active NPI

Share the Care Hospice, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1497377402
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 13, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN B21666
Ownership
For-Profit
Certified
Jun 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lara K Williams Individual 5% Or Greater Direct Ownership InterestCeo Jul 9, 2022 50%
Corporate OfficerCeo Jul 9, 2022 50%
Corporate DirectorCeo Jul 9, 2022 50%
Operational/Managerial ControlCeo Jul 9, 2022 50%
Tithkangna Farmer Individual 5% Or Greater Direct Ownership InterestCfo Jul 9, 2022 50%
Corporate OfficerCfo Jul 9, 2022 50%
Corporate DirectorCfo Jul 9, 2022 50%
Operational/Managerial ControlCfo 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

Verify at the official NPI Registry.