Organization Active NPI

Ivs Hospice, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1558724716
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
IVS HOSPICE, INC.
Practice address
7034 Van Nuys Blvd
Suite F
Van Nuys, CA 91405-3060
Phone
(818) 296-9561
Fax
(818) 296-9571
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Galust Galstyan
Title
Ceo
Phone
(818) 296-9561

Specialties & licenses 1

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

Addresses

Primary practice location

7034 Van Nuys Blvd
Suite F
Van Nuys, CA 91405-3060

Mailing address

7034 Van Nuys Blvd
Suite F
Van Nuys, CA 91405-3060
Phone (818) 296-9561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219001888 CA Part A Provider - Hospice 8123452455 Practice locations: Van Nuys, CA

Hospice certification: CCN B31540

Legal name
IVS HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 6, 2021
Last certification
Oct 6, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 15, 2016 in CA
Enrollment address
7034 Van Nuys Blvd
Ste F
Van Nuys, CA 91405-3061

Care Compare: Hospice

Medicare Care Compare
Listed as
Ivs Hospice, IncCCN B31540 · All quality measures
Certified
Oct 6, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7034 Van Nuys Blvd
Ste F
Van Nuys, CA 91405
Phone (818) 296-9561

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
Darrin D Luu Individual Contracted Managing EmployeeMD; Feb 1, 2026
Galust Galstyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary/Board Member Nov 10, 2022 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Nov 10, 2022 100%
Corporate DirectorCeo Nov 10, 2022 100%
W-2 Managing EmployeeAd;Ceo/Cfo/Secretary/Board Member Nov 10, 2022 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1558724716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 VAN NUYS BLVD",
            "address_2": "SUITE F",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053060",
            "telephone_number": "818-296-9561",
            "fax_number": "818-296-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 VAN NUYS BLVD",
            "address_2": "SUITE F",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053060",
            "telephone_number": "818-296-9561",
            "fax_number": "818-296-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "GALUST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-296-9561"
    },
    "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.