Miracle Hands Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MIRACLE HANDS HOSPICE

Practice address

6440 Bellingham Ave Ste 2
North Hollywood, CA 91606-1402

Phone

(626) 593-8131

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Mari Pogosian

Title

Ceo

Phone

(626) 593-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospice certification: CCN A11582

Legal name

GK Hospice Care, Inc

Certification status

Terminated , Apr 15, 2024

Provider type (POS)

Hospice

Participating since

Jul 27, 2020

Last certification

Jul 27, 2020

Ownership / control type

Proprietary - Corporation

Facility address

6440 Bellingham Ave Unit 1
North Hollywood, CA 91606

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1902408461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 BELLINGHAM AVE STE 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "626-593-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 BELLINGHAM AVE STE 2",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061402",
            "telephone_number": "626-593-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HANDS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "POGOSIAN",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-593-8131"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Minster, LCSW
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• Community Based Hospice Care Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Feb 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.