Organization Active NPI

St Gilbert Hospice

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1962015263
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 26, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
121 W Lexington Dr
Ste 206B
Glendale, CA 91203-3136

Care Compare: Hospice

Medicare Care Compare
Listed as
St Gilbert HospiceCCN D61549
Certified
Mar 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gayane Haroutiounian Individual Contracted Managing EmployeeAdmin Designee/DPCS Designee Oct 1, 2025
Meri Mnatsakanyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Sec/BM Jan 24, 2024 100%
Corporate OfficerCeo/Cfo/Sec/BM Jan 24, 2024 100%
Corporate DirectorCeo/Cfo/Sec/BM Jan 24, 2024 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BM Jan 24, 2024 100%
Irina Mkchyan Individual W-2 Managing EmployeeAd;DPCS Jan 24, 2024
Mikhail Chilingaryan Individual W-2 Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.