Organization Active NPI

Friendly Hospice Best Care,Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1851989024
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FRIENDLY HOSPICE BEST CARE,INC
Practice address
14545 Victory Blvd # 602a
Van Nuys, CA 91411-1620
Phone
(310) 978-3451
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Vladimir Belkin, RN
Title
Ceo
Phone
(310) 978-3451

Specialties & licenses 1

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

Addresses

Primary practice location

14545 Victory Blvd # 602a
Van Nuys, CA 91411-1620

Mailing address

14545 Victory Blvd # 602a
Van Nuys, CA 91411-1620
Phone (310) 978-3451

Other names 1

  • friendly hospice best care,inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203000572 CA Part A Provider - Hospice 0446664429 Practice locations: Van Nuys, CA

Hospice certification: CCN B51596

Legal name
FRIENDLY HOSPICE BEST CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 22, 2022
Last certification
Dec 22, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
14545 Victory Blvd
Ste 602a
Van Nuys, CA 91411-1620

Care Compare: Hospice

Medicare Care Compare
Listed as
Friendly Hospice Best Care, Inc.CCN B51596
Certified
Dec 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Victory Blvd
Ste 602A
Van Nuys, CA 91411
Phone (818) 453-4770

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
Lawrence Kotovets Individual 5% Or Greater Direct Ownership Interest Dec 11, 2020 100%
Corporate OfficerCeo Dec 11, 2020 100%
Corporate DirectorCeo Dec 11, 2020 100%
W-2 Managing EmployeeCeo Dec 11, 2020 100%
Elena Belkna Individual W-2 Managing EmployeeAd; Jan 15, 2021
Arkady Stern Individual Contracted Managing EmployeeMD; Jan 2, 2026

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1851989024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD # 602A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "310-978-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD # 602A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "310-978-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOSPICE BEST CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BELKIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-978-3451",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "friendly hospice best care,inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.