Organization Active NPI

Ameri Hospice Care Inc

  • Community Based Hospice Care Agency
  • Porter Ranch, CA
National Provider Identifier
1760007611
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERI HOSPICE CARE INC
Practice address
11145 Tampa Ave Ste 1B
Porter Ranch, CA 91326-2215
Phone
(747) 277-1711
Fax
(747) 249-5050
NPI assigned
Jun 16, 2020
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Ani Manukyan
Title
Ceo
Phone
(747) 277-1711

Specialties & licenses 1

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

Addresses

Primary practice location

11145 Tampa Ave Ste 1B
Porter Ranch, CA 91326-2215

Mailing address

11145 Tampa Ave Ste 1B
Porter Ranch, CA 91326-2215
Phone (747) 277-1711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000021 CA Part A Provider - Hospice 4385052869 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760007611. Details of each certification follow.

Hospice certification: CCN B31591

Legal name
AMERI HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 5, 2021
Last certification
Nov 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 9, 2020 in CA
Enrollment address
11145 Tampa Ave
Ste 1B
Northridge, CA 91326-2215

Care Compare: Hospice

Medicare Care Compare
Listed as
Ameri Hospice Care, IncCCN B31591 · All quality measures
Certified
Nov 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

11145 Tampa Ave
Ste 1B
Porter Ranch, CA 91326
Phone (747) 277-1711

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Gomez Individual W-2 Managing EmployeeAdmin Designee/DPCS Designee Aug 1, 2025
Joseph Ahoubim Individual W-2 Managing EmployeeMD; Sep 1, 2025
Rosario Dolores Obedoza Razon Individual W-2 Managing EmployeeDPCS Jan 10, 2023
Sharmeela a Advani Individual W-2 Managing EmployeeMD Designee Sep 1, 2025
Ani Manukyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 20, 2022 100%
Corporate OfficerCeo Sep 20, 2022 100%
Corporate DirectorCeo Sep 20, 2022 100%
W-2 Managing EmployeeAd;Ceo Sep 20, 2022 100%

Owners & managing parties with NPI records 2

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

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1760007611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 1B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262215",
            "telephone_number": "747-277-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 1B",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262215",
            "telephone_number": "747-277-1711",
            "fax_number": "747-249-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERI HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-277-1711"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.