Arrowhead Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ARROWHEAD HOSPICE INC

Practice address

505 N Arrowhead Ave Ste 507
San Bernardino, CA 92401-1222

Phone

(909) 332-5776

Fax

(909) 332-5790

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By 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

Gayana Khachikian

Title

Ceo

Phone

(909) 332-5776

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 1821448606. Details of each certification follow.

• CCN B41520 Hospice · Active · Details

Hospice certification: CCN B41520

Legal name

ARROWHEAD HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 21, 2022

Last certification

Feb 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

16250 Ventura Blvd
Ste 426
Encino, CA 91436-4620

Listed as

Arrowhead Hospice IncCCN B41520 · All quality measures

Certified

Feb 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Jeffrey Steven Felgner, M.D.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1790122497

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

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

• Mohammad Shaek Rahmany, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1154715001

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1821448606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N ARROWHEAD AVE STE 507",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011222",
            "telephone_number": "909-332-5776",
            "fax_number": "909-332-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N ARROWHEAD AVE STE 507",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011222",
            "telephone_number": "909-332-5776",
            "fax_number": "909-332-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "KHACHIKIAN",
        "authorized_official_first_name": "GAYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-332-5776"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateo Solomon Arroliga, CRNA
• Arrowhead Community Service Inc (Arrowhead Senior Villas)
• Arrowhead Healthcare Advisors, LLC (HealthPact)
• Arrowhead Healthcare Center LLC
• Arrowhead Home Convalescent Hospital
• Destiny Arroyo
• Marco Antonio Arroyo Jr.
• Susana Arroyo
• Arshad Sial MD, Inc.
• Arteaga Dental Corporation

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 13, 2016; 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.