Red Line Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RED LINE HOSPICE, INC.

Practice address

13746 Victory Blvd Ste 202
Van Nuys, CA 91401-6717

Phone

(818) 627-2027

NPI assigned

Aug 27, 2019

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vahe Khachatryan

Title

Ceo

Phone

(818) 627-2027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871141416. Details of each certification follow.

• CCN B51671 Hospice · Active · Details

Hospice certification: CCN B51671

Legal name

RED LINE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 29, 2022

Last certification

Nov 29, 2022

Organization structure

CorporationProprietary

Incorporated

Jul 15, 2019 in CA

Enrollment address

13746 Victory Blvd
Ste 202
Van Nuys, CA 91401-6717

Listed as

Red Line Hospice, IncCCN B51671 · All quality measures

Certified

Nov 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• L. Lee Nelson, MD

  • Emergency Medicine Physician
  • Norwalk, CA
  • NPI 1407972656

  Contracted Managing Employee

  CMS ownership

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.

• L. Lee Nelson, MD

  • Emergency Medicine Physician
  • Norwalk, CA
  • NPI 1407972656
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1871141416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-627-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 202",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016717",
            "telephone_number": "818-627-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LINE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-627-2027"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery Oasis Inc
• Recovery Oasis Inc
• Recovery Road Home Health Inc
• Red Cross Hospice Inc
• Red Home Health
• La-Kyshia Nicole Reddick
• Redwood Van Nuys LLC
• Kamelia Reed
• Merle Thomas Reed, PT
• Kim Reese

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.

Verify at the official NPI Registry.