Oak Hospice and Palliative Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAK HOSPICE AND PALLIATIVE CARE, INC

Practice address

19634 Ventura Blvd Ste 208
Tarzana, CA 91356-2966

Phone

(818) 303-9909

Fax

(818) 304-7050

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Sam Sanasar

Title

Ceo

Phone

(818) 303-9909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41682

Legal name

OAK HOSPICE AND PALLIATIVE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 4, 2022

Last certification

Feb 4, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 20, 2020 in CA

Enrollment address

19634 Ventura Blvd
Ste 208
Tarzana, CA 91356-7139

Listed as

Oak Hospice and Palliative Care, IncCCN B41682

Certified

Feb 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Shiva Nancy Shabnam, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1679802037

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1992309819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 208",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-303-9909",
            "fax_number": "818-304-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 208",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562966",
            "telephone_number": "818-303-9909",
            "fax_number": "818-304-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HOSPICE AND PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SANASAR",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-303-9909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Haruno Nyman, NP
• Anthony Nzeribe, LMFT
• Colleen Shea O'Connell, P.T.
• O2 Home Health Care, Inc.
• O2 Hospice, Inc.
• Oak Tree Hospice LLC
• Perrish Oakley
• Oasis Tarzana
• Robert W Oblath, M.D.
• Oc Home Health Care, Inc.

• Community Based Hospice Care Agency in Tarzana, CA
• Providers in Tarzana, 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 23, 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.

Verify at the official NPI Registry.