Elegant Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ELEGANT HOSPICE CARE

Practice address

4869 Topanga Canyon Blvd Ste 11
Woodland Hills, CA 91364-4261

Phone

(747) 207-7474

Fax

(747) 207-7373

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By 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

Ms. Anushik Chalikyan

Title

Ceo

Phone

(747) 207-7474

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 1558973446. Details of each certification follow.

• CCN B31554 Hospice · Active · Details

Hospice certification: CCN B31554

Legal name

ELEGANT HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 31, 2021

Last certification

Oct 31, 2021

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Enrollment address

17425 Chatsworth St
Ste 103
Granada Hills, CA 91344-9805

Listed as

Elegant Hospice CareCCN B31554 · All quality measures

Certified

Oct 31, 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.

• Kristine Vardanyan, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1972023778

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Kristine Vardanyan, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1972023778

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1558973446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 TOPANGA CANYON BLVD STE 11",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644261",
            "telephone_number": "747-207-7474",
            "fax_number": "747-207-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 TOPANGA CANYON BLVD STE 11",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644261",
            "telephone_number": "747-207-7474",
            "fax_number": "747-207-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANT HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "CHALIKYAN",
        "authorized_official_first_name": "ANUSHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-207-7474",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Sutter Ehret
• Paz Pesach Eilat, M.D.
• Richard Samuel Eisenberg, O.D.
• Zenna Adel Eissa
• El Camino Real Charter High School
• Elevated Care Hospice
• Elevated Healing Behavioral Health Inc.
• Nancy Elgawly
• Eli Home Health, Inc.
• Elia Health & Wellness Inc

• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Aug 20, 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.