Holly Trinity Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOLLY TRINITY HOSPICE, INC.

Practice address

6340 Coldwater Canyon Ave Ste 203
North Hollywood, CA 91606-2908

Phone

(818) 502-0724

Fax

(818) 502-0729

NPI assigned

Jan 6, 2017

Last updated

Jul 22, 2025By 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

Oren Shachar

Title

Ceo

Phone

(818) 502-0724

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 1851837413. Details of each certification follow.

• CCN A01640 Hospice · Active · Details

Hospice certification: CCN A01640

Legal name

HOLLY TRINITY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 19, 2019

Last certification

Jun 19, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

6340 Coldwater Canyon Ave
Ste 203
North Hollywood, CA 91606-2908

Listed as

Holly Trinity Hospice, IncCCN A01640 · All quality measures

Ownership

For-Profit

Certified

Jun 19, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1356352108

  Corporate Director

  CMS ownership
• Michael J Soffer, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1629181862

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1851837413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 COLDWATER CANYON AVE STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062908",
            "telephone_number": "818-502-0724",
            "fax_number": "818-502-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 COLDWATER CANYON AVE STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062908",
            "telephone_number": "818-502-0724",
            "fax_number": "818-502-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY TRINITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "SHACHAR",
        "authorized_official_first_name": "OREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-502-0724"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Jul 22, 2025; 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.