Organization Active NPI

Titus Hospice Inc

  • Community Based Hospice Care Agency
  • Panorama City, CA
National Provider Identifier
1932795325
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TITUS HOSPICE INC
Practice address
14621 Titus St Ste 120
Panorama City, CA 91402-4904
Phone
(747) 268-2818
NPI assigned
Dec 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Authorized official

Name
Armine Poghosyan
Title
Ceo
Phone
(747) 268-2818

Specialties & licenses 1

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

Addresses

Primary practice location

14621 Titus St Ste 120
Panorama City, CA 91402-4904

Mailing address

14621 Titus St Ste 120
Panorama City, CA 91402-4904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113002934 CA Part A Provider - Hospice 7517370471 Practice locations: Panorama City, CA

Hospice certification: CCN B41695

Legal name
TITUS HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 19, 2022
Last certification
Sep 19, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 9, 2020 in CA
Enrollment address
14621 Titus St
Ste 120
Panorama City, CA 91402-4904

Care Compare: Hospice

Medicare Care Compare
Listed as
Titus Hospice, Inc.CCN B41695 · All quality measures
Certified
Sep 19, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2319624Titus Hospice Inc14621 Titus St Ste 120, Panorama City, CA 91402Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

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
Rubilyn M Fernando Individual 5% Or Greater Direct Ownership Interest Jun 15, 2023 100%
Corporate OfficerCeo,Cfo,Secretary, Board Member Jun 15, 2023 100%
Corporate DirectorCeo,Cfo,Secretary, Board Memberc Jun 15, 2023 100%
W-2 Managing EmployeeCeo,Cfo,Secretary, Board Member Jun 15, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1932795325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 120",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14621 TITUS ST STE 120",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024904",
            "telephone_number": "747-268-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITUS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "POGHOSYAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-268-2818"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.