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FOUNTAIN HOSPICE, INC.
NPI 1720697196
Hospice Care, Community Based in Van Nuys, CA

Active since July 30, 2020
6308 WOODMAN AVE STE 214, VAN NUYS, CA 91401(818) 839-8807 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fountain Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN HOSPICE, INC. (NPI 1720697196) is a healthcare organization registered as a hospice care, community based in Van Nuys, California and active in the NPI registry since July 2020. The organization lists Nuritsa Martinyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720697196
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameFOUNTAIN HOSPICE, INC.
Location Address6308 WOODMAN AVE STE 214Van Nuys, CA 91401-2395
Mailing Address6308 Woodman Ave Ste 214Van Nuys, CA 91401-2395 · (818) 839-8807
Phone(818) 839-8807
Organization SubpartNo
Authorized OfficialNuritsa MartinyanCeo · (818) 839-8807
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1720697196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
6308 WOODMAN AVE STE 214, Van Nuys, CA 91401
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fountain Hospice, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20210624000369Part A · HospiceDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Hospice, Inc.'s NPI number?

The NPI number for Fountain Hospice, Inc. is 1720697196. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is Fountain Hospice, Inc. located?

Fountain Hospice, Inc. is located at 6308 Woodman Ave Ste 214, Van Nuys, CA 91401. The listed phone number is (818) 839-8807.

What is Fountain Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Fountain Hospice, Inc. enrolled in Medicare?

Yes. Fountain Hospice, Inc. is registered in the Medicare PECOS enrollment system.

When is Fountain Hospice, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Fountain Hospice, Inc. was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.