Atena Hospice, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ATENA HOSPICE, INC.

Practice address

13735 Victory Blvd Ste 8
Van Nuys, CA 91401-6736

Phone

(818) 302-0026

Fax

(818) 208-9318

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By 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

Arevik Gevorgyan

Title

Ceo

Phone

(818) 302-0026

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 1902374242. Details of each certification follow.

• CCN B21545 Hospice · Active · Details

Hospice certification: CCN B21545

Legal name

ATENA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 19, 2021

Last certification

May 19, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 27, 2018 in CA

Enrollment address

15450 Ventura Blvd
Ste 200
Sherman Oaks, CA 91403-3000

Listed as

Atena Hospice, IncCCN B21545 · All quality measures

Ownership

For-Profit

Certified

May 19, 2021

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 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

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

• Frank Choe, DO

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1194201681

  Hospice

  Care Compare affiliation
• Thomas Henry Kanegae, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902805914

  Hospice

  Care Compare affiliation
• Shiva Nancy Shabnam, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1679802037

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1902374242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 8",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016736",
            "telephone_number": "818-302-0026",
            "fax_number": "818-208-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13735 VICTORY BLVD STE 8",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016736",
            "telephone_number": "818-302-0026",
            "fax_number": "818-208-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "AREVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-302-0026"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assured Medical Imaging
• Assurity Home Health
• Alejandra Gabrielle Astorga
• Merlyn M Asuncion, M.D.
• Asuta Medical Group Inc
• Athella Home Health Inc
• Arpy Mary Atmajian, REGISTERED NURSE
• Atoll Congregate Living Facility, Inc
• Peter Atoyan
• Attentive Guardians

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.