Asa Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ASA HOSPICE CARE INC

Practice address

18340 Ventura Blvd Ste 207
Tarzana, CA 91356-4288

Phone

(818) 731-6635

Fax

(818) 960-0227

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By 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. Zhenya Bezatyan

Title

Ceo

Phone

(818) 731-6635

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 1700462546. Details of each certification follow.

• CCN B51501 Hospice · Active · Details

Hospice certification: CCN B51501

Legal name

ASA HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 26, 2022

Last certification

Nov 15, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 7, 2021 in CA

Enrollment address

18340 Ventura Blvd Suite 207
Tarzana, CA 91356-4234

Listed as

Asa Hospice Care IncCCN B51501 · All quality measures

Certified

Nov 26, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1700462546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564288",
            "telephone_number": "818-731-6635",
            "fax_number": "818-960-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564288",
            "telephone_number": "818-731-6635",
            "fax_number": "818-960-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BEZATYAN",
        "authorized_official_first_name": "ZHENYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-731-6635",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Tarzana, CA
• Providers in Tarzana, 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 Mar 22, 2021; 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.