Blessed Hands Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLESSED HANDS HOSPICE INC

Practice address

4045 N Fresno St Ste 103B
Fresno, CA 93726-4099

Phone

(559) 449-3390

Fax

(559) 375-1040

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By 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

Syuzanna Harutyunyan

Title

Ceo

Phone

(559) 449-3390

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 1740890755. Details of each certification follow.

• CCN B51715 Hospice · Active · Details

Hospice certification: CCN B51715

Legal name

BLESSED HANDS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 7, 2023

Last certification

Jul 7, 2023

Organization structure

CorporationProprietary

Incorporated

Dec 9, 2019 in CA

Enrollment address

4045 N Fresno St
Ste 103B
Fresno, CA 93726-4099

Listed as

Blessed Hands Hospice IncCCN B51715 · All quality measures

Certified

Jul 7, 2023

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.

Owners & managing parties with NPI records 1

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

• Ara Karnik Soghomonian, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1447366018

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Brent Wilson, MD

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1184647091

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1740890755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 N FRESNO ST STE 103B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264099",
            "telephone_number": "559-449-3390",
            "fax_number": "559-375-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 N FRESNO ST STE 103B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264099",
            "telephone_number": "559-449-3390",
            "fax_number": "559-375-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-449-3390"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martyann Blazevich, LVN
• Gigi Blazier
• Candace Blecha
• Adrienne Marie Bledsaw
• Shaniqua Bledsaw
• Shawna Blevins
• Stephanie Patachee Bliaya, ASW
• Robert D. Block, MD
• Kayla Rae Blodgett
• Tanya Blomgren, M.A., A.M.F.T

• Community Based Hospice Care Agency in Fresno, CA
• Providers in Fresno, 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 Aug 4, 2020; 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.