Organization Active NPI

St. Arsenius Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1831524834
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 11, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 751711 · All quality measures
Ownership
For-Profit
Certified
May 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2132817St Arsenius Hospice Care Inc424 N Lake Ave Ste 204, Pasadena, CA 91101Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Neeraj Gupta Individual Contracted Managing EmployeeMD; Mar 17, 2025
Jordan Weiss Individual W-2 Managing EmployeeDirector of Patient Care Serv Mar 17, 2025
Armen Akopyan Individual 5% Or Greater Direct Ownership InterestPresident Apr 1, 2017 100%
Corporate OfficerPresident Apr 1, 2017 100%
Corporate DirectorPresident Apr 1, 2017 100%
W-2 Managing EmployeePresident / Administrator 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.