Loyal Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LOYAL HOSPICE CARE, INC.

Practice address

9608 Van Nuys Blvd Ste 207B
Van Nuys, CA 91402-1043

Phone

(818) 891-6777

Fax

(818) 891-9777

NPI assigned

Dec 30, 2013

Last updated

May 5, 2015By 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

Eduard Poghosyan

Title

Ceo

Phone

(818) 891-6777

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 1912328485. Details of each certification follow.

• CCN 921502 Hospice · Active · Details

Hospice certification: CCN 921502

Legal name

LOYAL HOSPICE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 25, 2016

Last certification

Mar 14, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 9, 2017 in CA

Enrollment address

9608 Van Nuys Blvd 207-B
Panorama City, CA 91402-1043

Listed as

Loyal Hospice Care, IncCCN 921502 · All quality measures

Ownership

For-Profit

Certified

Apr 25, 2016

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 3

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.

• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1912328485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 207B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-891-6777",
            "fax_number": "818-891-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9608 VAN NUYS BLVD STE 207B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914021043",
            "telephone_number": "818-891-6777",
            "fax_number": "818-891-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-891-6777"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "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 May 5, 2015; 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.