Organization Active NPI

USA Hospice, Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1700425535
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
USA HOSPICE, INC.
Practice address
120 N Victory Blvd Ste 305
Burbank, CA 91502-0001
Phone
(818) 850-0955
Fax
(818) 626-5799
NPI assigned
Dec 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Vahagn Harutyunyan
Title
Ceo
Phone
(818) 850-0955

Specialties & licenses 1

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

Addresses

Primary practice location

120 N Victory Blvd Ste 305
Burbank, CA 91502-0001

Mailing address

120 N Victory Blvd Ste 305
Burbank, CA 91502-0001
Phone (818) 850-0955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225001992 CA Part A Provider - Hospice 5496182826 Practice locations: Burbank, CA

Hospice certification: CCN A11639

Legal name
USA HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 11, 2020
Last certification
Sep 11, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 4, 2019 in CA
Enrollment address
120 N Victory Blvd
Ste 305
Burbank, CA 91502-1836

Care Compare: Hospice

Medicare Care Compare
Listed as
USA Hospice, IncCCN A11639
Ownership
For-Profit
Certified
Sep 11, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

120 N Victory Blvd
Ste 305
Burbank, CA 91502
Phone (818) 850-0955

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.

NameRoleSinceShare
Vahagn Harutyunyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 9, 2022 100%
Corporate OfficerCeo Aug 9, 2022 100%
Corporate DirectorCeo Aug 9, 2022 100%
W-2 Managing EmployeeCeo Aug 9, 2022 100%

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": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1700425535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "818-850-0955",
            "fax_number": "818-626-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "818-850-0955",
            "fax_number": "818-626-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "VAHAGN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-850-0955"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.