NPIMap

Organization Active NPI

Lakeview Hospice Care, Inc.

  • Inpatient Hospice
  • Burbank, CA
National Provider Identifier
1891931564
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
LAKEVIEW HOSPICE CARE, INC.
Practice address
140N Victory Blvd. #105
Burbank, CA 91502-1848
Phone
(818) 841-5020
Fax
(866) 760-7788
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Mr. Arsen Garibyan Sr.
Title
Ceo
Phone
(818) 841-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X CA Primary

Addresses

Primary practice location

140N Victory Blvd. #105
Burbank, CA 91502-1848

Mailing address

140 N Victory Blvd Ste 105
Burbank, CA 91502-1848
Phone (818) 841-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000216 CA Part A Provider - Hospice 2466516455 Practice locations: Burbank, CA

Hospice certification: CCN 551640

Legal name
LAKEVIEW HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 23, 2011
Last certification
Feb 11, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 17, 2008 in CA
Enrollment address
140N Victory Blvd
105
Burbank, CA 91502-1848

Care Compare: Hospice

Medicare Care Compare
Listed as
Lakeview Hospice Care IncCCN 551640 · All quality measures
Ownership
For-Profit
Certified
Nov 23, 2011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1101749Lakeview Hospice Care, Inc140 N Victory #105, Burbank, CA 91502Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory

Locations

140 N Victory Blvd
Ste 105
Burbank, CA 91502
Phone (818) 841-5020

Ownership & related parties

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.

NameRoleSinceShare
Kephas Mso Organization, Las Vegas, NV Corporation 5% Or Greater Direct Ownership Interest May 10, 2013 51%
Arsen Garibyan Individual 5% Or Greater Direct Ownership Interest Oct 1, 2012 24.5%
Corporate Director Dec 16, 2008
Armond Garibyan Individual 5% Or Greater Direct Ownership Interest Dec 16, 2008
Corporate Director Dec 16, 2008
W-2 Managing EmployeeAdministrator Mar 1, 2013 100%

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 10

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": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1891931564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N VICTORY BLVD STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021848",
            "telephone_number": "818-841-5020",
            "fax_number": "866-760-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140N VICTORY BLVD. #105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021848",
            "telephone_number": "818-841-5020",
            "fax_number": "866-760-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "GARIBYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-841-5020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.