In the Arms of Grace Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IN THE ARMS OF GRACE HOSPICE, INC.

Practice address

3111 Los Feliz Blvd
Suite 107
Los Angeles, CA 90039-1519

Phone

(323) 928-2992

Fax

(323) 741-8331

NPI assigned

May 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kevork Kevin Tutunjian

Title

President

Phone

(323) 823-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551791

Legal name

IN THE ARMS OF GRACE HOSPICE INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 20, 2013

Last certification

Oct 17, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 22, 2011 in CA

Enrollment address

3111 Los Feliz Blvd.
Suite 107
Los Angeles, CA 90039

Listed as

In the Arms of Grace Hospice, IncCCN 551791

Ownership

For-Profit

Certified

Sep 20, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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.

• Jaykumar H Shah, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1376514661

  Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minas Kochumian, M.D.

  • Internal Medicine Physician
  • Northridge, CA
  • NPI 1235322538
  NPD (past)

Affiliated clinicians 1

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

• Jaykumar H Shah, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1376514661

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1871885970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391519",
            "telephone_number": "323-928-2992",
            "fax_number": "323-741-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391519",
            "telephone_number": "323-928-2992",
            "fax_number": "323-741-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN THE ARMS OF GRACE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-07",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "TUTUNJIAN",
        "authorized_official_first_name": "KEVORK",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-823-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 19, 2022; 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.