Active NPI
World Health Hospice, Inc
- Community Based Hospice Care Agency
- North Hollywood, CA
National Provider Identifier
1568077931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- WORLD HEALTH HOSPICE, INC
- Practice address
- 4942 Vineland Ave Ste 24
North Hollywood, CA 91601-5643 - Phone
- (818) 717-7549
- Fax
- (818) 717-7997
- NPI assigned
- Sep 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grigor Gevorgyan
- Title
- Ceo
- Phone
- (818) 717-7549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4942 Vineland Ave Ste 24
North Hollywood, CA 91601-5643
Mailing address
4942 Vineland Ave Ste 24
North Hollywood, CA 91601-5643
Phone (818) 717-7549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211229001148 | CA | Part A Provider - Hospice | 5193116127 | Practice locations: Encino, CA |
Hospice certification: CCN B41545
- Legal name
- WORLD HEALTH HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 6, 2022
- Last certification
- Jul 6, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 2, 2020 in CA
- Enrollment address
- 15720 Ventura Blvd
Ste 299
Encino, CA 91436-2973
Care Compare: Hospice
Medicare Care Compare- Listed as
- World Health Hospice, Inc
- Certified
- Jul 6, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15720 Ventura Blvd
Ste 299
Encino, CA 91436
Phone (818) 301-7973
4942 Vineland Ave
Ste 24
North Hollywood, CA 91601
Phone (818) 717-7549
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Armenuhi L Terteryan | 5% Or Greater Direct Ownership Interest | Dec 7, 2022 | 100% |
| Corporate Officer | Dec 7, 2022 | 100% | |
| Corporate Director | Dec 7, 2022 | 100% | |
| Operational/Managerial Control | Dec 7, 2022 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599868800000",
"number": "1568077931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 VINELAND AVE STE 24",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916015643",
"telephone_number": "818-717-7549",
"fax_number": "818-717-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4942 VINELAND AVE STE 24",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916015643",
"telephone_number": "818-717-7549",
"fax_number": "818-717-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORLD HEALTH HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-12",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "GRIGOR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-717-7549"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.