Active NPI
St Gilbert Hospice
- 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
- ST GILBERT HOSPICE
- Practice address
- 14545 Friar St Ste 239
Van Nuys, CA 91411-2397 - Phone
- (805) 791-6127
- NPI assigned
- Aug 26, 2020
- 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
- Gilbert Dones
- Title
- Ceo
- Phone
- (805) 791-0326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
14545 Friar St Ste 239
Van Nuys, CA 91411-2397
Mailing address
14545 Friar St Ste 239
Van Nuys, CA 91411-2397
Phone (805) 791-6127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241008001029 | CA | Part A Provider - Hospice | 5395164230 | Practice locations: Glendale, CA |
Hospice certification: CCN D61549
- Legal name
- ST GILBERT HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 7, 2025
- Last certification
- Feb 21, 2025
- Organization structure
- Corporation
- Enrollment address
- 121 W Lexington Dr
Ste 206B
Glendale, CA 91203-3136
Care Compare: Hospice
Medicare Care Compare- Listed as
- St Gilbert Hospice
- Certified
- Mar 7, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
121 W Lexington Dr
Ste 206B
Glendale, CA 91203
Phone (747) 257-0032
14545 Friar St
Ste 239
Van Nuys, CA 91411
Phone (805) 791-6127
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Gayane Haroutiounian | Contracted Managing Employee | Oct 1, 2025 | |
| Meri Mnatsakanyan | 5% Or Greater Direct Ownership Interest | Jan 24, 2024 | 100% |
| Corporate Officer | Jan 24, 2024 | 100% | |
| Corporate Director | Jan 24, 2024 | 100% | |
| W-2 Managing Employee | Jan 24, 2024 | 100% | |
| Irina Mkchyan | W-2 Managing Employee | Jan 24, 2024 | |
| Mikhail Chilingaryan | W-2 Managing Employee | Feb 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1356581201
W-2 Managing Employee
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": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598400000000",
"number": "1962015263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14545 FRIAR ST STE 239",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112397",
"telephone_number": "805-791-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14545 FRIAR ST STE 239",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914112397",
"telephone_number": "805-791-6127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST GILBERT HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A",
"authorized_official_last_name": "DONES",
"authorized_official_first_name": "GILBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-791-0326"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"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 Aug 26, 2020; 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.