Selective Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SELECTIVE CARE HOSPICE, INC.

Practice address

315 W Verdugo Ave Ste F
Burbank, CA 91502-2469

Phone

(818) 350-7730

NPI assigned

Mar 11, 2021

Last updated

Mar 11, 2021By 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

Zarui Ter-PogosyanNPI 1861094039

Title

Ceo

Phone

(818) 350-7730

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 1871178772. Details of each certification follow.

• CCN B51680 Hospice · Active · Details

Hospice certification: CCN B51680

Legal name

SELECTIVE CARE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 12, 2023

Last certification

Dec 15, 2022

Organization structure

CorporationProprietary

Incorporated

Jan 5, 2021 in CA

Enrollment address

315 W Verdugo Ave
Ste F
Burbank, CA 91502-2469

Listed as

Selective Care Hospice, Inc.CCN B51680 · All quality measures

Certified

Jan 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 2

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

• Roshni Patrick, M.D.

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1770929143

  Contracted Managing Employee

  CMS ownership
• Zarui Ter-Pogosyan

  • Nurse Practitioner
  • Van Nuys, CA
  • NPI 1861094039

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 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.

• Zarui Ter-Pogosyan

  • Nurse Practitioner
  • Van Nuys, CA
  • NPI 1861094039
  NPD Authorized official

Affiliated clinicians 1

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

• Silva Karchikian, MD

  • General Practice Physician
  • Glendale, CA
  • NPI 1922010388

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1871178772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W VERDUGO AVE STE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022469",
            "telephone_number": "818-350-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W VERDUGO AVE STE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022469",
            "telephone_number": "818-350-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "TER-POGOSYAN",
        "authorized_official_first_name": "ZARUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-350-7730"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline C Segulyev, D.D.S.
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• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Mar 11, 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.

Verify at the official NPI Registry.