Organization Active NPI

Sheltering Arms Hospice Care,Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1689275729
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SHELTERING ARMS HOSPICE CARE,INC.
Practice address
12444 Victory Blvd Ste 308
North Hollywood, CA 91606-3199
Phone
(213) 444-9092
Fax
(213) 769-6261
NPI assigned
Nov 5, 2020
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Mr. Karapet Mirakyan
Title
Ceo
Phone
(213) 444-9092

Specialties & licenses 1

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

Addresses

Primary practice location

12444 Victory Blvd Ste 308
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 308
North Hollywood, CA 91606-3199
Phone (213) 444-9092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831001141 CA Part A Provider - Hospice 4486050424 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689275729. Details of each certification follow.

Hospice certification: CCN B51635

Legal name
SHELTERING ARMS HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 20, 2022
Last certification
Sep 20, 2022
Organization structure
CorporationProprietary
Incorporated
Aug 11, 2020 in CA
Enrollment address
12444 Victory Blvd
Ste 308
North Hollywood, CA 91606-3199

Care Compare: Hospice

Medicare Care Compare
Listed as
Sheltering Arms Hospice Care, IncCCN B51635 · All quality measures
Certified
Sep 20, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 308
North Hollywood, CA 91606
Phone (818) 961-6455

Ownership & related parties

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.

NameRoleSinceShare
Sheryl L Labrador Individual 5% Or Greater Direct Ownership Interest Jul 18, 2023 33.33%
Corporate OfficerCeo/Secretary Jul 18, 2023 33.33%
Corporate DirectorCeo/Secretary Jul 18, 2023 33.33%
Operational/Managerial ControlCeo/Secretary Jul 18, 2023 33.33%
Ranilo C Garcia Individual 5% Or Greater Direct Ownership Interest Jul 18, 2023 33.34%
Corporate OfficerBoard Member/Owner Jul 18, 2023 33.34%
Corporate DirectorBoard Member/Owner Jul 18, 2023 33.34%
Operational/Managerial ControlBoard Member/Owner Jul 18, 2023 33.34%
Epifania D Quijano Individual 5% Or Greater Direct Ownership Interest Jul 18, 2023 33.33%
Corporate OfficerCfo Jul 18, 2023 33.33%
Corporate DirectorCfo Jul 18, 2023 33.33%
Operational/Managerial ControlCfo Jul 18, 2023 33.33%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1689275729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 308",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "213-444-9092",
            "fax_number": "213-769-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 308",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "213-444-9092",
            "fax_number": "213-769-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERING ARMS HOSPICE CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MIRAKYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-444-9092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.