United Health Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

UNITED HEALTH HOSPICE, INC.

Practice address

2525 Colorado Blvd Ste E
Los Angeles, CA 90041-1062

Phone

(818) 469-2003

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Katrina Keshish Ghazari

Title

Ceo/President

Phone

(818) 469-2003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31574

Legal name

UNITED HEALTH HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 12, 2021

Last certification

Aug 12, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

2525 Colorado Blvd
Ste E
Los Angeles, CA 90041-1062

Listed as

United Health Hospice, IncCCN B31574 · All quality measures

Certified

Aug 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Kamyar Kamjoo, MD

  • Nephrology Physician
  • Tarzana, CA
  • NPI 1558465708

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Kamyar Kamjoo, MD

  • Nephrology Physician
  • Tarzana, CA
  • NPI 1558465708

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1891318853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 204",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD STE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "818-469-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "KESHISH GHAZARI",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-469-2003"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• United Medcare
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• United Medical Imaging Healthcare, Inc.

• 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 Sep 11, 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.

Verify at the official NPI Registry.