Organization Active NPI

Community Care Hospice

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1841996584
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITY CARE HOSPICE
Practice address
2400 N Tenaya Way Ste 101N
Las Vegas, NV 89128-0420
Phone
(702) 702-1713
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Arman Nazaryan
Title
Owner
Phone
(818) 395-4016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2400 N Tenaya Way Ste 101N
Las Vegas, NV 89128-0420

Mailing address

2400 N Tenaya Way Ste 101N
Las Vegas, NV 89128-0420
Phone (702) 702-1713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527000383 NV Part A Provider - Hospice 8426406075 Practice locations: Las Vegas, NV

Hospice certification: CCN 291735

Legal name
COMMUNITY CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 4, 2025
Last certification
Oct 15, 2025
Organization structure
CorporationProprietary
Enrollment address
2400 N Tenaya Way
Ste 315
Las Vegas, NV 89128-0645

National Provider Directory

National Provider Directory

Locations

2400 N Tenaya Way
Ste 101N
Las Vegas, NV 89128
Phone (702) 702-1713

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
Arman Nazaryan Individual W-2 Managing EmployeeAd; Nov 1, 2023
Eric Miller Individual Contracted Managing EmployeeMD; Feb 1, 2025
Vaagn Grigorian Individual 5% Or Greater Direct Ownership InterestOwner/Ceo/President Sep 10, 2024 100%
Corporate OfficerOwner/Ceo/President Sep 10, 2024 100%
Corporate DirectorOwner/Ceo/President Sep 10, 2024 100%
Operational/Managerial ControlOwner/Ceo/President Sep 10, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1841996584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY STE 101N",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280420",
            "telephone_number": "702-702-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N TENAYA WAY STE 101N",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280420",
            "telephone_number": "702-702-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "NAZARYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-395-4016"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.