Eminent Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EMINENT HOSPICE CARE, INC.

Practice address

13758 Victory Blvd
Suite 207
Van Nuys, CA 91401-2319

Phone

(818) 442-9700

Fax

(818) 442-9701

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Gayane Kirakosyan

Title

Ceo

Phone

(818) 442-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921501

Legal name

EMINENT HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 10, 2016

Last certification

Mar 7, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2013 in CA

Enrollment address

10999 Riverside Dr
Ste 306
North Hollywood, CA 91602-2239

Listed as

Eminent Hospice Care, IncCCN 921501

Ownership

For-Profit

Certified

Apr 10, 2016

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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeong Ah Kim, NP

  • Family Nurse Practitioner
  • North Hollywood, CA
  • NPI 1104681220
  NPD (past)
• Sung Park

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • North Hollywood, CA
  • NPI 1700537305
  NPD (past)

Affiliated clinicians 4

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

• Robert Tae Ha, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1750302188

  Hospice

  Care Compare affiliation
• William Chunghun Sim, MD

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1437256906

  Hospice

  Care Compare affiliation
• Chaewon Song, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Garden Grove, CA
  • NPI 1972589687

  Hospice

  Care Compare affiliation
• James Jinhong Yang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467816744

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1992134696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13758 VICTORY BLVD",
            "address_2": "SUITE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012319",
            "telephone_number": "818-442-9700",
            "fax_number": "818-442-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13758 VICTORY BLVD",
            "address_2": "SUITE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012319",
            "telephone_number": "818-442-9700",
            "fax_number": "818-442-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENT HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-442-9700"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 4, 2013; 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.