NPIMap

Organization Active NPI

Shaid Hospice, Inc

  • Community Based Hospice Care Agency
  • Valley Village, CA
National Provider Identifier
1528660933
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SHAID HOSPICE, INC
Practice address
12501 Chandler Blvd Ste 103
Valley Village, CA 91607-1959
Phone
(818) 308-7772
Fax
(818) 301-2691
NPI assigned
Nov 10, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Hasmik Kanataryan
Title
Ceo
Phone
(818) 308-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

12501 Chandler Blvd Ste 103
Valley Village, CA 91607-1959

Mailing address

12501 Chandler Blvd Ste 103
Valley Village, CA 91607-1959
Phone (818) 308-7772

Care Compare: Hospice

Medicare Care Compare
Listed as
Shaid Hospice, Inc.CCN B51564
Certified
Oct 5, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

12501 Chandler Blvd
Ste 103
Valley Village, CA 91607
Phone (818) 308-7772

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1528660933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 103",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071959",
            "telephone_number": "818-308-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 103",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071959",
            "telephone_number": "818-308-7772",
            "fax_number": "818-301-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAID HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "KANATARYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-308-7772"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.