Hospice and Home Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE AND HOME CARE, INC

Doing business as

Guardian Angel Hospice, Inc

Practice address

980 Enchanted Way Ste 210
Simi Valley, CA 93065-0914

Phone

(805) 500-8079

Fax

(805) 581-0286

NPI assigned

Dec 6, 2013

Last updated

May 22, 2020By 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

Janna Ponomarenko

Title

Ceo

Phone

(805) 550-8079

Specialties & licenses 1

Addresses

Other names 1

• GUARDIAN ANGEL HOSPICE, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912338518. Details of each certification follow.

• CCN 751677 Hospice · Active · Details

Hospice certification: CCN 751677

Legal name

HOSPICE AND HOME CARE INC

Doing business as

GUARDIAN ANGEL HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 17, 2015

Last certification

Sep 7, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 25, 2011 in CA

Enrollment address

980 Enchanted Way
Ste 210
Simi Valley, CA 93065-0914

Listed as

Guardian Angel Hospice, IncCCN 751677 · All quality measures

Ownership

For-Profit

Certified

Aug 17, 2015

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 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

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

• Behrouz B Dardashti, M.D.

  • Family Medicine Physician
  • West Hills, CA
  • NPI 1275552705

  Hospice

  Care Compare affiliation
• Jeffrey Shukhman, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1447593660

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1912338518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-500-8079",
            "fax_number": "805-581-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-500-8079",
            "fax_number": "805-581-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE AND HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "PONOMARENKO",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-550-8079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUARDIAN ANGEL HOSPICE, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hoseah Hospice & Palliative Care Inc
• Hospice Care of the Valley, Inc
• Hospice Choice Care, Inc.
• Hospice of St. Mary Inc.
• Hospitality Hospice Care Inc
• Chloie Bunye Howe

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 May 22, 2020; 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.