Oc Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OC HOSPICE CARE, INC.

Practice address

19626 Ventura Blvd Ste 225
Tarzana, CA 91356-6038

Phone

(747) 215-2070

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Marina Kushnirovich

Title

Owner

Phone

(747) 215-2070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11743

Legal name

OC HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 10, 2021

Last certification

Feb 10, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 30, 2019 in CA

Enrollment address

19626 Ventura Blvd
Ste 225
Tarzana, CA 91356-6038

Listed as

Oc Hospice Care, IncCCN A11743

Ownership

For-Profit

Certified

Feb 10, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Henry A Horton, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1457653602

  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.

• Jacqueline Nicole Baeza

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1346172251
  NPD (past)

Affiliated clinicians 1

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

• Henry A Horton, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1457653602

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1801427026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD STE 225",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566038",
            "telephone_number": "747-215-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19626 VENTURA BLVD STE 225",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566038",
            "telephone_number": "747-215-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KUSHNIROVICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-215-2070"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Tree Hospice LLC
• Perrish Oakley
• Oasis Tarzana
• Robert W Oblath, M.D.
• Oc Home Health Care, Inc.
• Joshua Angel Ochoa-Leiva
• Martha Ochoa
• Anthony Oden
• Oessencials, Inc.
• Janna Oganessian, M.D.

• 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 Apr 8, 2022; 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.