East Valley Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EAST VALLEY HOSPICE, INC.

Practice address

5761 Whitnall Hwy Ste D
North Hollywood, CA 91601-2101

Phone

(818) 643-5050

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By 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

Arakel Asatrian

Title

Ceo

Phone

(818) 643-5050

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 1518500792. Details of each certification follow.

• CCN B21691 Hospice · Active · Details

Hospice certification: CCN B21691

Legal name

EAST VALLEY HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 28, 2021

Last certification

Jun 28, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

10646 Zelzah Ave
Ste 201
Granada Hills, CA 91344-5957

Listed as

East Valley Hospice, IncCCN B21691 · All quality measures

Ownership

For-Profit

Certified

Jun 28, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Eliza Sukhee Ahn, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356450498

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Eliza Sukhee Ahn, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1356450498

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1518500792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 WHITNALL HWY STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012101",
            "telephone_number": "818-643-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 WHITNALL HWY STE D",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012101",
            "telephone_number": "818-643-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "ASATRIAN",
        "authorized_official_first_name": "ARAKEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-643-5050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 21, 2019; 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.