Real Mind Hospice & Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REAL MIND HOSPICE & PALLIATIVE CARE INC

Practice address

14545 Friar St Ste 235
Van Nuys, CA 91411-2397

Phone

(818) 806-9727

Fax

(818) 860-0203

NPI assigned

Sep 7, 2020

Organization subpart

No

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

Authorized official

Name

Narine Sahakyan

Title

Ceo

Phone

(818) 806-9727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31769

Legal name

REAL MIND HOSPICE & PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 9, 2021

Last certification

Dec 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 17, 2020 in CA

Enrollment address

15130 Ventura Blvd
Ste 318
Sherman Oaks, CA 91403-3378

Listed as

Real Mind Hospice & Palliative Care, IncCCN B31769

Certified

Dec 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

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

• Christopher Robert Buttelman, MD

  • Internal Medicine Physician
  • Northridge, CA
  • NPI 1437128840

  Hospice

  Care Compare affiliation
• Brian Keith Gamble, M.D.

  • Diagnostic Radiology Physician
  • Toluca Lake, CA
  • NPI 1568478436

  Hospice

  Care Compare affiliation
• Gemelia Holgado Aguilera, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1972616100

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1821602822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 235",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-806-9727",
            "fax_number": "818-860-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 235",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-806-9727",
            "fax_number": "818-860-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL MIND HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "SAHAKYAN",
        "authorized_official_first_name": "NARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-806-9727"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Razo
• Walker Fallon Reade
• Ready First Home Health, Inc.
• Real Care Home Health
• Real Hospice,Inc
• Stephen Reale, M.D.
• Reality Care Hospice, Inc.
• Aija Rebensal
• Rebirth Health Care Inc
• Cynthia N Rebollar

• 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 Sep 7, 2020; 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.