Active NPI
Friendly Hospice Best Care,Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1851989024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Certified
- Dec 22, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lawrence Kotovets | 5% Or Greater Direct Ownership Interest | Dec 11, 2020 | 100% |
| Corporate Officer | Dec 11, 2020 | 100% | |
| Corporate Director | Dec 11, 2020 | 100% | |
| W-2 Managing Employee | Dec 11, 2020 | 100% | |
| Elena Belkna | W-2 Managing Employee | Jan 15, 2021 | |
| Arkady Stern | Contracted Managing Employee | 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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1033198882
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.