Atlantica Management, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ATLANTICA MANAGEMENT, INC

Practice address

10520 Magnolia Blvd
North Hollywood, CA 91601-4112

Phone

(800) 969-9161

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Gagik Rafiki Vardanyan

Title

Ceo

Phone

(800) 969-9161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51627

Legal name

ATLANTICA MANAGEMENT INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 20, 2023

Last certification

Jan 20, 2023

Organization structure

CorporationProprietary

Incorporated

Nov 6, 2020 in CA

Enrollment address

4605 Lankershim Blvd
Suite 311a
North Hollywood, CA 91602-1875

Listed as

Atlantica Management, IncCCN B51627 · All quality measures

Certified

Jan 20, 2023

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Richard Keech, M.D.

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1487748364

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Keech, M.D.

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1487748364
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1508455676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014112",
            "telephone_number": "800-969-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 MAGNOLIA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014112",
            "telephone_number": "800-969-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICA MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_middle_name": "RAFIKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-969-9161"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ataollah Ramin, M.D. Inc.
• Athenyx Physical Therapy
• Jason Atherton
• Sona Atikian, NP
• Gregory Bernard Atkins, MT
• Atmosphere Home Health Center LLC
• Atmosphere Treatment Center LLC
• Atna Medical Supply
• Hranush Atoyan
• Diana Beth Au, CCC, SLP

• Community Based Hospice Care Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Jan 18, 2021; 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.