Olympia Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OLYMPIA HOSPICE CARE, INC.

Practice address

13600 Ventura Blvd, First Floor
Sherman Oaks, CA 91423-5014

Phone

(747) 222-8525

Fax

(818) 616-7637

NPI assigned

Jun 1, 2015

Last updated

Feb 2, 2026By 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

Avedis Safarian

Title

Ceo

Phone

(747) 222-8525

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 1770963159. Details of each certification follow.

• CCN A01535 Hospice · Active · Details

Hospice certification: CCN A01535

Legal name

OLYMPIA HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 16, 2019

Last certification

Apr 7, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 27, 2015 in CA

Enrollment address

13721 Ventura Blvd
Sherman Oaks, CA 91423-3023

Listed as

Olympia Hospice Care IncCCN A01535 · All quality measures

Ownership

For-Profit

Certified

Jan 16, 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 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 1

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

• Cary D Nelson, M.D.

  • Adult Medicine Physician
  • Valley Village, CA
  • NPI 1215018486

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Damon Bradley Raskin, MD

  • Internal Medicine Physician
  • Pacific Palisades, CA
  • NPI 1528254133

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1770963159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13600 VENTURA BLVD, FIRST FLOOR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235014",
            "telephone_number": "747-222-8525",
            "fax_number": "818-616-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 VENTURA BLVD, FIRST FLOOR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235014",
            "telephone_number": "747-222-8525",
            "fax_number": "818-616-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 N 3rd Ave",
            "address_2": "Suite L",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917866052",
            "country_code": "US",
            "telephone_number": "909-296-6771",
            "fax_number": "909-296-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLYMPIA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "SAFARIAN",
        "authorized_official_first_name": "AVEDIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-222-8525"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joana Berenice Olmedo
• Israel Olmos Jr., NONE
• Olora Home Health Care
• Alexis Olson
• Patrick Olwell, MFT
• Olympus Pharmacy Inc
• Omega Care Pharmacy Inc (Omega Care Pharmacy)
• Omni Therapy, Inc.
• Bahman Omrani, DO
• Roger C On, M.D.

• Community Based Hospice Care Agency in Sherman Oaks, CA
• Providers in Sherman 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 Feb 2, 2026; 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.