Organization Active NPI

Vana Hospice, Inc.

  • Community Based Hospice Care Agency
  • North Hollywood, CA
National Provider Identifier
1962038208
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VANA HOSPICE, INC.
Practice address
11755 Victory Blvd Ste 210
North Hollywood, CA 91606-3454
Phone
(323) 380-8528
Fax
(323) 843-9329
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mr. Ruben Hovakimyan
Title
Ceo
Phone
(323) 380-8528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

11755 Victory Blvd Ste 210
North Hollywood, CA 91606-3454

Mailing address

11755 Victory Blvd Ste 210
North Hollywood, CA 91606-3454
Phone (323) 380-8528

Care Compare: Hospice

Medicare Care Compare
Listed as
Vana Hospice, IncCCN B31587
Certified
Jun 10, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2227996Vana Hospice Inc11755 Victory Blvd Suite 210, North Hollywood, CA 91606Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1962038208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 210",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063454",
            "telephone_number": "323-380-8528",
            "fax_number": "323-843-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 210",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063454",
            "telephone_number": "323-380-8528",
            "fax_number": "323-843-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "HOVAKIMYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-380-8528",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.