Marvista Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MARVISTA HOSPICE CARE INC

Practice address

1800 Broadview Dr Ste 261-F
Glendale, CA 91208-1259

Phone

(747) 307-5567

Fax

(747) 313-7460

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Tatevik Hovhannisyan

Title

Owner

Phone

(747) 307-5567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51665

Legal name

MARVISTA HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 19, 2023

Last certification

Apr 19, 2023

Organization structure

CorporationProprietary

Incorporated

Nov 23, 2020 in CA

Enrollment address

15455 San Fernando Mission Blvd
Ste C-309a
Mission Hills, CA 91345-1300

Listed as

Marvista Hospice Care, IncCCN B51665

Certified

Apr 19, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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 2

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

• Wyzscx Merfil Patacxil, M.D.

  • Surgery Physician
  • El Segundo, CA
  • NPI 1932543675

  Contracted Managing Employee

  CMS ownership
• Helen Rostamloo, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1285759514

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1902496466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 261-F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-307-5567",
            "fax_number": "747-313-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BROADVIEW DR STE 261-F",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081259",
            "telephone_number": "747-307-5567",
            "fax_number": "747-313-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVISTA HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-307-5567"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ani Martirosyan
• Anna Martirosyan
• Bessy M Martirosyan, M.D.
• Marine Martirosyan, DDS
• Mercedes F. Maruscak, N.P.
• Onkarjit Singh Marwah, M.D.
• Marys Home Health Care, Inc
• Karolin Masihi Nazari
• Masoud Bamdad, M.D. Inc
• Samar Sami Masri-Phillips, M.D.

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jan 19, 2021; 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.