VC Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VC HOSPICE, INC.

Practice address

14640 Victory Blvd
Suite 221
Van Nuys, CA 91411-1623

Phone

(818) 901-1002

Fax

(818) 901-1003

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Lala Bayanduryan

Title

Ceo

Phone

(818) 901-1002

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 1902239395. Details of each certification follow.

• CCN A01622 Hospice · Active · Details

Hospice certification: CCN A01622

Legal name

VC HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 7, 2019

Last certification

May 7, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 3, 2013 in CA

Enrollment address

23545 Crenshaw Blvd
Ste 202
Torrance, CA 90505-5262

Listed as

VC Hospice, IncCCN A01622 · All quality measures

Ownership

For-Profit

Certified

May 7, 2019

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.

Affiliated clinicians 1

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

• Daniel Cho, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1396124137

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1902239395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "SUITE 221",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-901-1002",
            "fax_number": "818-901-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "SUITE 221",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-901-1002",
            "fax_number": "818-901-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VC HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "BAYANDURYAN",
        "authorized_official_first_name": "LALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-901-1002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Vaughn
• Maria Vaught
• Cecilia Vazquez
• Josiah Vazquez
• Marisabel Vazquez
• Jennifer Celeste Vega Santamaria
• Maria Vega, LCSW 112833
• Yemelin Edith Vega
• Juliana Veksler, M.A., M.F.T.
• Eliana Velasco

• 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 21, 2013; 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.