Lucky Palliative Services, Incorporated

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LUCKY PALLIATIVE SERVICES, INCORPORATED

Practice address

20944 Sherman Way St.
Unit 204
Canoga Park, CA 91303

Phone

(818) 207-9954

NPI assigned

Dec 10, 2013

Last updated

Sep 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Aida Karamian, RN

Title

President

Phone

(818) 207-9954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699106120. Details of each certification follow.

• CCN A01565 Hospice · Active · Details

Hospice certification: CCN A01565

Legal name

LUCKY PALLIATIVE SERVICES INCORPORATED

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 3, 2018

Last certification

Dec 3, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 3, 2013 in CA

Enrollment address

20944 Sherman Way
Ste 204
Canoga Park, CA 91303-3661

Listed as

Lucky Palliative Services IncorporatedCCN A01565 · All quality measures

Ownership

For-Profit

Certified

Dec 3, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Other

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Hospice

  Care Compare affiliation
• Arman Hekmati, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1326080128

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1699106120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY ST.",
            "address_2": "UNIT 204",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-207-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY ST.",
            "address_2": "UNIT 204",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "91303",
            "telephone_number": "818-207-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY PALLIATIVE SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "KARAMIAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-207-9954",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria J Lozada, D.M.D.
• Gisselle Lozano
• Jerico Lua
• Jasmine Lucas
• Lucky Home Health Agency
• Juleah Luengas
• Luis F. Sosa-Turcioi DDS a Dental Corporation
• Luminere Hospice, Inc.
• Luna Medcare Home Health Services
• Amy Lupercio Cornejo

• Community Based Hospice Care Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.

Verify at the official NPI Registry.