Nurturing Angels Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NURTURING ANGELS HOSPICE

Practice address

14545 Friar St Ste 205N
Van Nuys, CA 91411-2398

Phone

(323) 821-1419

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Arsen Der-Aprahamian

Title

Director

Phone

(323) 821-1419

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41634

Legal name

NURTURING ANGELS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 31, 2022

Last certification

Jul 31, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2020 in CA

Enrollment address

14215 Sherman Way
Van Nuys, CA 91405-2445

Listed as

Nurturing Angels HospiceCCN B41634

Certified

Jul 31, 2022

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 1

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

• Keino Andre Rutherford, MD

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1497807853

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1912523960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 205N",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "323-821-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 205N",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "323-821-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING ANGELS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "DER-APRAHAMIAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-821-1419"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "14545 Friar St Ste 205N",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Nunley
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• Nurse Angeles Home Health Care, Inc.
• Nurses Care Home Health
• Nvaid Tabibzadeh DDS a Dental Corp
• Chinenye Florence Nwoke, FNP, PMHNP
• Nnena Nwosu
• Erica Nyarko
• Kimberly A O'Donnell, M.A.

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Jun 24, 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.