Active NPI
TH Caring Hospice Care Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TH CARING HOSPICE CARE INC
- Practice address
- 13615 Victory Blvd Ste 111
Van Nuys, CA 91401-1770 - Phone
- (818) 290-3015
- Fax
- (818) 290-3034
- NPI assigned
- Jan 19, 2021
- Last updated
- Oct 15, 2024
- 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
- Narine Grigoryan
- Title
- Owner
- Phone
- (818) 290-3015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
13615 Victory Blvd Ste 111
Van Nuys, CA 91401-1770
Mailing address
13615 Victory Blvd Ste 111
Van Nuys, CA 91401-1770
Phone (818) 290-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210825000152 | CA | Part A Provider - Hospice | 8022413384 | Practice locations: Van Nuys, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1942890405. Details of each certification follow.
Hospice certification: CCN B51706
- Legal name
- TH CARING HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 12, 2023
- Last certification
- Dec 13, 2022
- Organization structure
- Corporation
- Incorporated
- Nov 23, 2020 in CA
- Enrollment address
- 13615 Victory Blvd
Ste 111
Van Nuys, CA 91401-1770
Care Compare: Hospice
Medicare Care Compare- Listed as
- TH Caring Hospice Care, Inc
- Certified
- Jan 12, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1800 Broadview Dr
Ste 261G
Glendale, CA 91208
Phone (747) 307-5569
13615 Victory Blvd
Ste 111
Van Nuys, CA 91401
Phone (818) 290-3015
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Narine Grigoryan | 5% Or Greater Direct Ownership Interest | Jun 1, 2022 | 100% |
| Corporate Officer | Jun 1, 2022 | 100% | |
| W-2 Managing Employee | Jun 1, 2022 | 100% | |
| Harut Manavgyan | Contracted Managing Employee | Mar 1, 2026 | |
| Jack E Rubin | Contracted Managing Employee | Mar 1, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
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": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1942890405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 111",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011770",
"telephone_number": "818-290-3015",
"fax_number": "818-290-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13615 VICTORY BLVD STE 111",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914011770",
"telephone_number": "818-290-3015",
"fax_number": "818-290-3034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TH CARING HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "GRIGORYAN",
"authorized_official_first_name": "NARINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-290-3015"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.