Gracious Nurses Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRACIOUS NURSES HOSPICE

Practice address

14545 Friar St Ste 205D
Van Nuys, CA 91411-2398

Phone

(818) 967-7223

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Hayk Kirakosyan

Title

Ceo

Phone

(818) 967-7223

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41631

Legal name

GRACIOUS NURSES HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 2, 2022

Last certification

Aug 2, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2020 in CA

Enrollment address

14545 Friar St
Ste 205D
Van Nuys, CA 91411-2398

Listed as

Gracious Nurses HospiceCCN B41631

Certified

Aug 2, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cyrus Rafael Lavian, M.D.

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1548283526

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682726400000",
    "number": "1962028118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 205D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "818-967-7223",
            "fax_number": "818-698-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 205D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "818-967-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS NURSES HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-967-7223"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "14545 Friar St Ste 205D",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace and Hope Hospice, Inc.
• Grace Healthcare Services Inc
• Graceful Senior Care Inc
• Sylvia C Gracia, B.A. SOCIOLOGY
• Gracious Home Health, Inc.
• Jasmine M Grady
• Suzanne Patricia Graf, CNS
• Marques Graham
• Sara Lauren Gralitzer, MS, ATC
• Granada Hills Treatment Center LLC

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.

Verify at the official NPI Registry.