US Hospice Co

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

US HOSPICE CO

Practice address

30495 Canwood St Ste 204
Agoura Hills, CA 91301-4331

Phone

(747) 777-3353

NPI assigned

Jan 3, 2021

Last updated

Nov 5, 2024By 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

Zhores Markaryan

Title

President

Phone

(747) 777-3353

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 1902494230. Details of each certification follow.

• CCN B41721 Hospice · Active · Details

Hospice certification: CCN B41721

Legal name

US HOSPICE CO

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 19, 2022

Last certification

Aug 19, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 3, 2020 in CA

Enrollment address

30495 Canwood St
Ste 204
Agoura Hills, CA 91301-4331

Listed as

US Hospice CoCCN B41721 · All quality measures

Certified

Aug 19, 2022

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.

Owners & managing parties with NPI records 1

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

• Paula Bailey-Walton, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174646590

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Karo K Arzoo, M.D.

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1306862859

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1609632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1902494230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "747-777-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30495 CANWOOD ST STE 204",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014331",
            "telephone_number": "747-777-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US HOSPICE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MARKARYAN",
        "authorized_official_first_name": "ZHORES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-777-3353"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.