Active NPI
St. Arsenius Hospice Care, Inc.
- Community Based Hospice Care Agency
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST. ARSENIUS HOSPICE CARE, INC.
- Practice address
- 424 N Lake Ave
Suite 204
Pasadena, CA 91101-1200 - Phone
- (626) 795-5705
- Fax
- (626) 795-5706
- NPI assigned
- Sep 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armen Akopyan
- Title
- President/Ceo
- Phone
- (626) 795-5705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
424 N Lake Ave
Suite 204
Pasadena, CA 91101-1200
Mailing address
424 N Lake Ave
Suite 204
Pasadena, CA 91101-1200
Phone (626) 795-5705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150219000066 | CA | Part A Provider - Hospice | 0547585382 | Practice locations: Pasadena, CA |
Hospice certification: CCN 751711
- Legal name
- ST. ARSENIUS HOSPICE CARE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 29, 2015
- Last certification
- Jul 19, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 26, 2013 in CA
- Enrollment address
- 424 N Lake Ave
Ste 204
Pasadena, CA 91101-1293
Care Compare: Hospice
Medicare Care Compare- Listed as
- St. Arsenius Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- May 29, 2015
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2132817 | St Arsenius Hospice Care Inc | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
424 N Lake Ave
Ste 204
Pasadena, CA 91101
Phone (626) 795-5705
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Neeraj Gupta | Contracted Managing Employee | Mar 17, 2025 | |
| Jordan Weiss | W-2 Managing Employee | Mar 17, 2025 | |
| Armen Akopyan | 5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 100% |
| Corporate Officer | Apr 1, 2017 | 100% | |
| Corporate Director | Apr 1, 2017 | 100% | |
| W-2 Managing Employee | Apr 1, 2017 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1356504062
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Glendale, CA
- NPI 1336363415
-
- Hematology & Oncology Physician
- Pomona, CA
- NPI 1255597456
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1831524834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 N LAKE AVE",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011200",
"telephone_number": "626-795-5705",
"fax_number": "626-795-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 N LAKE AVE",
"address_2": "SUITE 204",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011200",
"telephone_number": "626-795-5705",
"fax_number": "626-795-5706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ARSENIUS HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-09",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "AKOPYAN",
"authorized_official_first_name": "ARMEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "626-795-5705"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.