Organization Active NPI

Athena Inc

Doing business as Athena Hospice

  • Community Based Hospice Care Agency
  • Fresno, CA
National Provider Identifier
1871081471
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ATHENA INC
Doing business as
Athena Hospice
Practice address
7636 N Ingram Ave Ste 105
Fresno, CA 93711-6200
Phone
(559) 241-9913
NPI assigned
Apr 29, 2018
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Hasmik Keshishyan, OWNER
Title
Ceo
Phone
(559) 241-9913

Specialties & licenses 1

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

Addresses

Primary practice location

7636 N Ingram Ave Ste 105
Fresno, CA 93711-6200

Mailing address

7636 N Ingram Ave Ste 105
Fresno, CA 93711-6200
Phone (559) 241-9913

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

Other names 1

  • ATHENA HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180530000103 CA Part A Provider - Hospice 6305101056 Practice locations: Fresno, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871081471. Details of each certification follow.

Hospice certification: CCN A01687

Legal name
ATHENA INC
Doing business as
ATHENA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 7, 2020
Last certification
Jan 7, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 13, 2018 in CA
Enrollment address
7636 N Ingram Ave
Ste 105
Fresno, CA 93711-6200

Care Compare: Hospice

Medicare Care Compare
Listed as
Athena HospiceCCN A01687 · All quality measures
Ownership
For-Profit
Certified
Jan 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2165521Athena Hospice7636 North Ingram Ave Ste 105, Fresno, CA 93711Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

7636 N Ingram Ave
Ste 105
Fresno, CA 93711
Phone (559) 241-9913

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hasmik Keshishyan Individual 5% Or Greater Direct Ownership Interest Mar 13, 2018 100%
Corporate OfficerCeo/Administrator Mar 13, 2018 100%
W-2 Managing EmployeeCeo/Administrator Mar 13, 2018 100%
Ara Soghomonian Individual Contracted Managing EmployeeMD; Feb 15, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1871081471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7636 N INGRAM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116200",
            "telephone_number": "559-241-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7636 N INGRAM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116200",
            "telephone_number": "559-241-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KESHISHYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-241-9913",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENA HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.