Edem Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEM HOSPICE INC

Practice address

6742 Van Nuys Blvd Ste 207
Van Nuys, CA 91405-4611

Phone

(818) 528-8018

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Movses Shirinyan

Title

Ceo

Phone

(818) 528-8018

Specialties & licenses 1

Addresses

Listed as

Edem Hospice, IncCCN B21710

Ownership

For-Profit

Certified

Aug 18, 2021

Locations

Practitioners 1

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

• Fariba Javaherian, M.D

  • Dermatology Physician
  • Northridge, CA
  • NPI 1114088804
  NPD (past)

Affiliated clinicians 1

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

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Cypress, CA
  • NPI 1770783896

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1790397883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-528-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 VAN NUYS BLVD STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054611",
            "telephone_number": "818-528-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEM HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "SHIRINYAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-528-8018"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edgar C Banez,MD
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• Edgewood Hospice Care, Inc.
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• Brittany Ann Edwards

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.