Oak Tree Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAK TREE HOSPICE LLC

Practice address

18663 Ventura Blvd Ste 215
Tarzana, CA 91356-4100

Phone

(818) 471-3131

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Maria Kizilova

Title

Administrator

Phone

(818) 471-3131

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31740

Legal name

OAK TREE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 14, 2022

Last certification

Apr 14, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 7, 2019 in CA

Enrollment address

18663 Ventura Blvd
Ste 215
Tarzana, CA 91356-4100

Listed as

Oak Tree Hospice LLCCCN B31740

Certified

Apr 14, 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.

Owners & managing parties with NPI records 1

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

• Josef Lobel, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1295769230

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josef Lobel, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1295769230
  NPD (past)

Affiliated clinicians 1

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

• Josef Lobel, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1295769230

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1760047724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18663 VENTURA BLVD STE 215",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564100",
            "telephone_number": "818-471-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18663 VENTURA BLVD STE 215",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564100",
            "telephone_number": "818-471-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "KIZILOVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-471-3131"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oaktreehospicellc@mail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18663 Ventura Blvd Ste 215",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913564100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Nzeribe, LMFT
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• Perrish Oakley
• Oasis Tarzana
• Robert W Oblath, M.D.
• Oc Home Health Care, Inc.
• Oc Hospice Care, Inc.

• 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 Feb 19, 2024; 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.