Organization Active NPI

Caring and Wellness Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1902484363
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARING AND WELLNESS HOSPICE CARE, INC.
Practice address
1112 1/2 N Pacific Ave
Glendale, CA 91202-2316
Phone
(818) 839-3333
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Artur Gichyan
Title
Ceo
Phone
(818) 839-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1112 1/2 N Pacific Ave
Glendale, CA 91202-2316

Mailing address

1112 1/2 N Pacific Ave
Glendale, CA 91202-2316
Phone (818) 839-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220126000124 CA Part A Provider - Hospice 3173915188 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902484363. Details of each certification follow.

Hospice certification: CCN B51553

Legal name
CARING AND WELLNESS HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 2, 2022
Last certification
Sep 2, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
1112 1/2 N Pacific Ave
Glendale, CA 91202-2316

Care Compare: Hospice

Medicare Care Compare
Listed as
Caring and Wellness Hospice Care, Inc.CCN B51553 · All quality measures
Certified
Sep 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1112 N Pacific Ave
#1-2
Glendale, CA 91202
Phone (818) 839-3333

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
Artur Gichyan Individual 5% Or Greater Direct Ownership Interest Mar 4, 2021 100%
Corporate Officer Mar 4, 2021 100%
Corporate Director Mar 4, 2021 100%
W-2 Managing EmployeeAd; Mar 4, 2021 100%
Anthony Joseph Picconatto Individual W-2 Managing EmployeeMD; Sep 1, 2025
Kyoung Lee Individual W-2 Managing EmployeeDPCS Sep 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1902484363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 1/2 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022316",
            "telephone_number": "818-839-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 1/2 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022316",
            "telephone_number": "818-839-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING AND WELLNESS HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "GICHYAN",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-839-3333"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.