Blue Sky Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE SKY HOSPICE CARE, INC.

Practice address

6621 Van Nuys Blvd Ste 105
Van Nuys, CA 91405-4673

Phone

(747) 282-1743

NPI assigned

Aug 3, 2020

Last updated

May 14, 2024By 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

Karo Papazyan

Title

Ceo

Phone

(747) 282-1743

Specialties & licenses 1

Addresses

Listed as

Blue Sky Hospice Care, Inc.CCN B41637

Certified

Dec 16, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Affiliated clinicians 1

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

• Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1831270362

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1801406046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 VAN NUYS BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054673",
            "telephone_number": "747-282-1743",
            "fax_number": "747-282-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 VAN NUYS BLVD STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054673",
            "telephone_number": "747-282-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "PAPAZYAN",
        "authorized_official_first_name": "KARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-282-1743"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Blumenthal, D.O.
• Brian Gerrit Bodt
• Body Physical Therapy and Fitness Inc
• Kelly Bogaard, BCBA

• 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 May 14, 2024; 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.