Organization Active NPI

Ame Hospice Inc

  • Community Based Hospice Care Agency
  • Granada Hills, CA
National Provider Identifier
1639754005
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AME HOSPICE INC
Practice address
10515 Balboa Blvd Ste 361
Granada Hills, CA 91344-6343
Phone
(818) 517-7506
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Nunufar Ovsepian
Title
Ceo
Phone
(818) 517-7506

Specialties & licenses 1

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

Addresses

Primary practice location

10515 Balboa Blvd Ste 361
Granada Hills, CA 91344-6343

Mailing address

10515 Balboa Blvd Ste 361
Granada Hills, CA 91344-6343
Phone (747) 239-1132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220307001082 CA Part A Provider - Hospice 3274927330 Practice locations: Granada Hills, CA

Hospice certification: CCN B51774

Legal name
AME HOSPICE INC
Certification status
Terminated Voluntary: merger or closure, May 1, 2026
Provider type (POS)
Hospice
Participating since
Nov 17, 2023
Last certification
Nov 8, 2023
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2021 in CA
Enrollment address
10515 Balboa Blvd
Ste 361
Granada Hills, CA 91344-6381

Care Compare: Hospice

Medicare Care Compare
Listed as
Ame Hospice IncCCN B51774
Certified
Nov 17, 2023
Medicare certification status
Terminated Voluntary: merger or closure, May 1, 2026From the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2307276Ame Hospice Inc10515 Balboa Blvd, Ste 361, Granada Hills, CA 91344Certificate of waiverJul 2, 2026

National Provider Directory

National Provider Directory

Locations

10515 Balboa Blvd
Ste 361
Granada Hills, CA 91344
Phone (747) 239-1132

811 Wilshire Blvd
Ste 1743
Los Angeles, CA 90017
Phone (818) 517-7506

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
Nunufar Ovsepian Individual 5% Or Greater Direct Ownership InterestPresident Mar 1, 2021 100%
Corporate OfficerCeo Mar 1, 2021 100%
Corporate Director Mar 1, 2021 100%
Arsen Mkrtchyan Individual W-2 Managing EmployeeDPCS Jan 2, 2022

Practitioners & affiliated clinicians

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1639754005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 361",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "747-239-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 361",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446343",
            "telephone_number": "818-517-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AME HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "OVSEPIAN",
        "authorized_official_first_name": "NUNUFAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-517-7506"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

Verify at the official NPI Registry.