Authentic Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AUTHENTIC HOSPICE CARE, INC.

Practice address

2667 N Moorpark Rd Ste 205
Thousand Oaks, CA 91360-3026

Phone

(805) 241-4406

Fax

(805) 241-4405

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Arman Davtyan

Title

Ceo

Phone

(805) 241-4406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41669

Legal name

AUTHENTIC HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 14, 2021

Last certification

Dec 14, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

2667 N Moorpark Rd
Ste 205
Thousand Oaks, CA 91360-3026

Listed as

Authentic Hospice CareCCN B41669

Certified

Dec 14, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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 2

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

• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562

  W-2 Managing Employee

  CMS ownership
• Spasoje M Neskovic, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1780792739

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Spasoje M Neskovic, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1780792739

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1750857975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 N MOORPARK RD STE 205",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603026",
            "telephone_number": "805-241-4406",
            "fax_number": "805-241-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 N MOORPARK RD STE 205",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603026",
            "telephone_number": "805-241-4406",
            "fax_number": "805-241-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-241-4406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanie Au, ASW
• Gregory Audino
• David Aufrichtig, MD
• Kailyn Aune
• Authentic Home Health Care, Inc.
• Kristina Avakumov
• Genevieve Avalos
• Saro Avedikian
• Avenida Living Home, Inc.
• Avenida Living Home, Inc.

• Community Based Hospice Care Agency in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Oct 15, 2018; 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.