Organization Active NPI

Beginning Life Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1699365684
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEGINNING LIFE HOSPICE INC
Practice address
17620 Sherman Way Ste 213
Van Nuys, CA 91406-3527
Phone
(818) 306-8266
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Hermine BadalyanNPI 1386815595
Title
Ceo
Phone
(818) 306-8266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17620 Sherman Way Ste 213
Van Nuys, CA 91406-3527

Mailing address

17620 Sherman Way Ste 213
Van Nuys, CA 91406-3527
Phone (818) 306-8266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220315002396 CA Part A Provider - Hospice 6406241173 Practice locations: Van Nuys, CA

Hospice certification: CCN B51779

Legal name
BEGINNING LIFE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 7, 2023
Last certification
Nov 28, 2023
Organization structure
CorporationProprietary
Incorporated
Dec 23, 2020 in CA
Enrollment address
17620 Sherman Way
Ste 213
Van Nuys, CA 91406-3527

Care Compare: Hospice

Medicare Care Compare
Listed as
Beginning Life Hospice IncCCN B51779
Certified
Dec 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17620 Sherman Way
Ste 213
Van Nuys, CA 91406
Phone (818) 306-8266

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
Hermine Badalyan Individual 5% Or Greater Direct Ownership InterestPresident Dec 23, 2020 100%
Corporate OfficerCeo Dec 23, 2020 100%
Corporate Director Dec 23, 2020 100%
Arsen Mkrtchyan Individual W-2 Managing EmployeeDPCS Jan 2, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1699365684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-306-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17620 SHERMAN WAY STE 213",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063527",
            "telephone_number": "818-306-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEGINNING LIFE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BADALYAN",
        "authorized_official_first_name": "HERMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-306-8266"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.