Salvation Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SALVATION HOSPICE, INC.

Practice address

19634 Ventura Blvd Ste 113
Tarzana, CA 91356-2966

Phone

(818) 436-5253

Fax

(818) 473-4737

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Vahan Vahanyan

Title

Owner

Phone

(828) 900-0009

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31572

Legal name

SALVATION HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 14, 2021

Last certification

Oct 14, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 9, 2020 in CA

Enrollment address

8560 Vineyard Ave
Ste 504
Rancho Cucamonga, CA 91730-4350

Listed as

Salvation Hospice IncCCN B31572

Certified

Oct 14, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Wyzscx Merfil Patacxil, M.D.

  • Surgery Physician
  • El Segundo, CA
  • NPI 1932543675

  Contracted Managing Employee, Corporate Director

  CMS ownership

Practitioners 1

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

• Mahbod Paya, M.D.

  • Surgery Physician
  • West Hills, CA
  • NPI 1316098841
  NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1538776349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 113",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-436-5253",
            "fax_number": "818-473-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 113",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-436-5253",
            "fax_number": "818-473-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "VAHANYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-900-0009"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "19634 Ventura Blvd Ste 113",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913562966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Saldana
• Jacob Saleh, MD
• Fara Salehi, D.D.S.
• Salwa Salib Matta, MA, BCBA
• Boules Salib, MD, MPH
• Saman Lashkari, MD. Inc.
• Madelyne Samayoa-Cabrera
• Serge Samboul
• Sonia Samih, RPH
• Carlton B. Sampson, M.D.

• Community Based Hospice Care Agency in Tarzana, CA
• Providers in Tarzana, 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 Sep 25, 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.

Verify at the official NPI Registry.