Optima Care Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OPTIMA CARE HOSPICE

Practice address

1259 S Glendale Ave Ste F
Glendale, CA 91205-3298

Phone

(818) 925-4828

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Karapet Tiflizyan

Title

Ceo

Phone

(818) 925-4828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21740

Legal name

OPTIMA CARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 5, 2021

Last certification

Aug 5, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2019 in CA

Enrollment address

12631 Imperial Hwy
Ste D126
Santa Fe Springs, CA 90670-6745

Listed as

Optima Care HospiceCCN B21740 · All quality measures

Ownership

For-Profit

Certified

Aug 5, 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.

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Cypress, CA
  • NPI 1770783896

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1831720697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S GLENDALE AVE STE F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053298",
            "telephone_number": "818-925-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S GLENDALE AVE STE F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053298",
            "telephone_number": "818-925-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "TIFLIZYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-925-4828"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneil Culver Inc
• Oliver Lim Ong, M.D.
• Christ Onnik Adjemian
• Open Arms Home Care, Inc.
• Open Bionics Inc
• Optima Care Pharmacy , Inc.
• Optima Family Services, Inc.
• Optima Health Care, Inc.
• Optima Surgery Center, LLC
• Optimum Health Associates, Inv.

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jan 30, 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.