Delta Health Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DELTA HEALTH HOSPICE

Practice address

17037 Chatsworth St Ste 206
Granada Hills, CA 91344-5874

Phone

(747) 214-4843

Fax

(747) 322-7608

NPI assigned

Jul 15, 2020

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ani Makaryan

Title

Ceo

Phone

(747) 214-4843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841808946. Details of each certification follow.

• CCN B21777 Hospice · Active · Details

Hospice certification: CCN B21777

Legal name

DELTA HEALTH HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 31, 2021

Last certification

Aug 31, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 3, 2020 in CA

Enrollment address

17037 Chatsworth St
Ste 206
Granada Hills, CA 91344-5874

Listed as

Delta Health HospiceCCN B21777 · All quality measures

Ownership

For-Profit

Certified

Aug 31, 2021

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 2

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

Affiliated clinicians 1

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

• Rajiv H Bhuva, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Azusa, CA
  • NPI 1821148941
  Care Compare affiliation

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1841808946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 SEPULVEDA BLVD STE 204C",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434354",
            "telephone_number": "747-214-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17037 CHATSWORTH ST STE 206",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445874",
            "telephone_number": "747-214-4843",
            "fax_number": "747-322-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MAKARYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-214-4843"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes De Guzman, PT
• Roy Decena
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• Ysabel Marie Del Valle
• Clarissa Jael Delgado-Salas, LCSW
• Nicole Demelo, NURSE PRACTITIONER
• Hagop Demirjian
• Anant J Desai, MD
• Desire 4 Change Living Iop
• Devoted Home Health Services, Inc.

• Community Based Hospice Care Agency in Granada Hills, CA
• Providers in Granada Hills, 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 Apr 4, 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.