Active NPI
Athena Inc
Doing business as Athena Hospice
- Community Based Hospice Care Agency
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2023
- 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
- Hasmik Keshishyan, OWNER
- Title
- Ceo
- Phone
- (559) 241-9913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CA |
Other names 1
- ATHENA HOSPICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Jan 7, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2165521 | Athena Hospice | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hasmik Keshishyan | 5% Or Greater Direct Ownership Interest | Mar 13, 2018 | 100% |
| Corporate Officer | Mar 13, 2018 | 100% | |
| W-2 Managing Employee | Mar 13, 2018 | 100% | |
| Ara Soghomonian | Contracted Managing Employee | 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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1447366018
Contracted Managing Employee
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.
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1235070616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.