Active NPI
Mediq Hospice and Palliative Care
- Community Based Hospice Care Agency
- Los Angeles, CA
National Provider Identifier
1932777646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | LosAngeles | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Certified
- Apr 29, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Narek Abrahamyan | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.