Green Paradise Hospice Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREEN PARADISE HOSPICE CARE, INC

Practice address

5658 Sepulveda Blvd Ste 201
Van Nuys, CA 91411-2951

Phone

(818) 290-3602

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Karapet Akhverdyan

Title

Ceo

Phone

(818) 290-3602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11716

Legal name

GREEN PARADISE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 11, 2020

Last certification

Dec 11, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 13, 2020 in CA

Enrollment address

5658 Sepulveda Blvd
Ste 201
Van Nuys, CA 91411-2951

Listed as

Green Paradise Hospice Care IncCCN A11716

Ownership

For-Profit

Certified

Dec 11, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Anousheh Ashouri, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1336305036

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Anousheh Ashouri, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1336305036

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1831721893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112951",
            "telephone_number": "818-290-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 SEPULVEDA BLVD STE 201",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112951",
            "telephone_number": "818-290-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PARADISE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "AKHVERDYAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-290-3602"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 9, 2023; 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.