Organization Active NPI

TH Caring Hospice Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1942890405
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B51706 · All quality measures
Certified
Jan 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Narine Grigoryan Individual 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
Corporate OfficerCeo Jun 1, 2022 100%
W-2 Managing EmployeeAd;Ad;Ceo Jun 1, 2022 100%
Harut Manavgyan Individual Contracted Managing EmployeeDPCS Mar 1, 2026
Jack E Rubin Individual Contracted Managing EmployeeMD; 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

Verify at the official NPI Registry.