Organization Active NPI

Mediq Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1932777646
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MEDIQ HOSPICE AND PALLIATIVE CARE
Doing business as
Mediq Hospice and Palliative Care
Practice address
3151 Cahuenga Blvd W Ste 220
Los Angeles, CA 90068-1749
Phone
(323) 545-6996
Fax
(323) 545-6996
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Mr. Narek Abrahamyan
Title
Chief Executive Officer/Cfo
Phone
(323) 545-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3151 Cahuenga Blvd W Ste 220
Los Angeles, CA 90068-1749

Mailing address

3151 Cahuenga Blvd W Ste 220
Los Angeles, CA 90068-1749
Phone (323) 545-6996

Other names 1

  • Mediq Hospice and Palliative Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LosAngeles Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802000347 CA Part A Provider - Hospice 0244612620 Practice locations: Los Angeles, CA

Hospice certification: CCN B51679

Legal name
MEDIQ HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 29, 2023
Last certification
Apr 6, 2023
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2020 in CA
Enrollment address
3151 Cahuenga Blvd W
Ste 220
Los Angeles, CA 90068-1749

Care Compare: Hospice

Medicare Care Compare
Listed as
Mediq Hospice and Palliative CareCCN B51679 ยท All quality measures
Certified
Apr 29, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3151 Cahuenga Blvd W
Ste 220
Los Angeles, CA 90068
Phone (323) 545-6996

Ownership & related parties

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.

NameRoleSinceShare
Narek Abrahamyan Individual 5% Or Greater Direct Ownership Interest Aug 4, 2020 100%
Corporate Officer Aug 4, 2020
W-2 Managing Employee Aug 4, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1932777646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681749",
            "telephone_number": "323-545-6996",
            "fax_number": "323-545-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 CAHUENGA BLVD W STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681749",
            "telephone_number": "323-545-6996",
            "fax_number": "323-545-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQ HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/CFO",
        "authorized_official_telephone_number": "323-545-6996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LosAngeles",
            "affiliation": "N",
            "endpointDescription": "Hospice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3151 Cahuenga Blvd W Ste 220",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900681749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mediq Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.