Organization Active NPI

Ave Maria Hospice Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1710504204
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVE MARIA HOSPICE INC.
Practice address
16438 Vanowen St Ste 208
Van Nuys, CA 91406-4762
Phone
(747) 262-7272
Fax
(747) 208-7930
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Mr. Harutyun Simonyan
Title
Ceo
Phone
(747) 262-7272

Specialties & licenses 1

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

Addresses

Primary practice location

16438 Vanowen St Ste 208
Van Nuys, CA 91406-4762

Mailing address

16438 Vanowen St Ste 208
Van Nuys, CA 91406-4762
Phone (747) 262-7272

Care Compare: Hospice

Medicare Care Compare
Listed as
Ave Maria Hospice, IncCCN B21701
Ownership
For-Profit
Certified
Jun 23, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2202813Ave Maria Hospice Inc16438 Vanowen St Ste 208, Van Nuys, CA 91406Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

16438 Vanowen St
Ste 208
Van Nuys, CA 91406
Phone (747) 262-7272

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": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1710504204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064762",
            "telephone_number": "747-262-7272",
            "fax_number": "747-208-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064762",
            "telephone_number": "747-262-7272",
            "fax_number": "747-208-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVE MARIA HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-262-7272",
        "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 Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.