Vienna Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VIENNA HOSPICE AND PALLIATIVE CARE, INC.

Practice address

2110 N Glenoaks Blvd
Burbank, CA 91504-2827

Phone

(818) 405-0085

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By 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

Taguhi Poghosyan

Title

Ceo/ Owner

Phone

(818) 405-0085

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 1760874747. Details of each certification follow.

• CCN A01599 Hospice · Active · Details

Hospice certification: CCN A01599

Legal name

VIENNA HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 15, 2019

Last certification

Mar 15, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 14, 2014 in CA

Enrollment address

26811 Seco Canyon Rd
Ste C
Santa Clarita, CA 91350-2263

Listed as

Vienna Hospice and Palliative Care, IncCCN A01599 · All quality measures

Ownership

For-Profit

Certified

Mar 15, 2019

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 5

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.

• Oleg Liakhovetski, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1154584316

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership
• Mohammad Shaek Rahmany, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1154715001

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Eric Batres, MD

  • Family Medicine Physician
  • Bell, CA
  • NPI 1174638373

  Hospice

  Care Compare affiliation
• Oleg Liakhovetski, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1154584316

  Hospice

  Care Compare affiliation
• Shuo Steven Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1538232137

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1760874747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042827",
            "telephone_number": "818-405-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042827",
            "telephone_number": "818-405-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "TAGUHI",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "818-405-0085"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter Paul Vidal
• Carlos A. Vidales, PHD
• Michelle Vielman
• Linda P Vien, MD
• Vigen Alikhanian DDS. Inc
• Shawntel Vigil
• Villa Patria Inc
• Village Church, Inc.
• Erik Villalpando

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 26, 2015; 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.