Active NPI
Real Care Hospice Inc
- Community Based Hospice Care Agency
- Sherman Oaks, CA
National Provider Identifier
1568079762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Certified
- Aug 24, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gagik Khachaturyan | 5% Or Greater Direct Ownership Interest | Jun 29, 2023 | 100% |
| Corporate Officer | Jun 29, 2023 | 100% | |
| Corporate Director | Jun 29, 2023 | 100% | |
| W-2 Managing Employee | Jun 29, 2023 | 100% | |
| Operational/Managerial Control | Jun 29, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Laguna Hills, CA
- NPI 1386703007
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pasadena, CA
- NPI 1962081976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.