Active NPI
Hospice of Providence, Inc
- Community Based Hospice Care Agency
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE OF PROVIDENCE, INC
- Practice address
- 4533 Van Nuys Blvd Ste 301B
Sherman Oaks, CA 91403-2950 - Phone
- (818) 855-1411
- NPI assigned
- May 16, 2020
- Last updated
- May 16, 2020
- 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
- Angine Gyulakubyan
- Title
- Ceo
- Phone
- (818) 855-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
4533 Van Nuys Blvd Ste 301B
Sherman Oaks, CA 91403-2950
Mailing address
4533 Van Nuys Blvd Ste 301B
Sherman Oaks, CA 91403-2950
Phone (818) 855-1411
Care Compare: Hospice
Medicare Care Compare- Listed as
- Platinum Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Apr 20, 2016
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice of Providence, Inc
- Certified
- Jun 12, 2022
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
4533 Van Nuys Blvd
Ste 301B
Sherman Oaks, CA 91403
Phone (818) 855-1411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589587200000",
"number": "1861014417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 VAN NUYS BLVD STE 301B",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032950",
"telephone_number": "818-855-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4533 VAN NUYS BLVD STE 301B",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032950",
"telephone_number": "818-855-1411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF PROVIDENCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-16",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A",
"authorized_official_last_name": "GYULAKUBYAN",
"authorized_official_first_name": "ANGINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-855-1411"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.