Organization Active NPI

Real Care Hospice Inc

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
National Provider Identifier
1568079762
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
REAL CARE HOSPICE INC
Practice address
4730 Woodman Ave Ste 302
Sherman Oaks, CA 91423-2400
Phone
(818) 836-0808
Fax
(818) 527-9955
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Gagik Khachaturyan
Title
Ceo
Phone
(818) 836-0808

Specialties & licenses 1

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

Addresses

Primary practice location

4730 Woodman Ave Ste 302
Sherman Oaks, CA 91423-2400

Mailing address

4730 Woodman Ave Ste 302
Sherman Oaks, CA 91423-2400
Phone (818) 836-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210730002505 CA Part A Provider - Hospice 2769885532 Practice locations: Sherman Oaks, CA

Hospice certification: CCN B51551

Legal name
REAL CARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 24, 2022
Last certification
Aug 9, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 14, 2020 in CA
Enrollment address
4730 Woodman Ave
Ste 205
Sherman Oaks, CA 91423-2401

Care Compare: Hospice

Medicare Care Compare
Listed as
Real Care Hospice, IncCCN B51551
Certified
Aug 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4730 Woodman Ave
Ste 205
Sherman Oaks, CA 91423
Phone (818) 836-0808

14545 Friar St
Ste 159
Van Nuys, CA 91411
Phone (323) 217-4398

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.

NameRoleSinceShare
Gagik Khachaturyan Individual 5% Or Greater Direct Ownership Interest Jun 29, 2023 100%
Corporate OfficerCeo/Cfo/Sec/BM/Owner Jun 29, 2023 100%
Corporate DirectorCeo/Cfo/Sec/BM/Owner Jun 29, 2023 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM/Owner Jun 29, 2023 100%
Operational/Managerial ControlCeo/Cfo/Sec/BM/Owner Jun 29, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1568079762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-836-0808",
            "fax_number": "818-527-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 WOODMAN AVE STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232400",
            "telephone_number": "818-836-0808",
            "fax_number": "818-527-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "KHACHATURYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-836-0808"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.