ATENA HOSPICE, INC.
NPI 1902374242
Home Health in Van Nuys, CA

Q: What is Atena Hospice, Inc.'s NPI number?

The NPI number for Atena Hospice, Inc. is 1902374242. It was assigned to this organization in the NPPES registry on November 5, 2018.

Q: What is Atena Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since November 05, 2018CLIA 05D2297982 · Waiver

13735 VICTORY BLVD STE 8, VAN NUYS, CA 91401(818) 302-0026(818) 208-9318 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Atena Hospice, Inc. NPPES

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

ATENA HOSPICE, INC. (NPI 1902374242) is a healthcare organization registered as a home health in Van Nuys, California and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Arevik Gevorgyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902374242

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameATENA HOSPICE, INC.

Location Address13735 VICTORY BLVD STE 8Van Nuys, CA 91401-6736

Mailing Address13735 Victory Blvd Ste 8Van Nuys, CA 91401-6736 · (818) 302-0026 · Fax (818) 208-9318

Phone(818) 302-0026

Fax(818) 208-9318

Organization SubpartNo

Authorized OfficialArevik GevorgyanCeo · (818) 302-0026

Enumeration DateNovember 5, 2018

✔ NPI 1902374242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

13735 VICTORY BLVD STE 8, 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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20210129001884Part A · HospiceDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2297982

Atena Hospice Inc · Sherman Oaks, CA

Active · expires Jan 24, 2028

CLIA Number05D2297982

Laboratory TypeHospice

Certificate Effective DateJanuary 25, 2026

Certificate Expiration DateJanuary 24, 2028

Laboratory DirectorFrank Choe

Laboratory Phone(818) 302-0026

Laboratory LocationAtena Hospice Inc15450 Ventura Blvd Suite 200, Sherman Oaks, CA 91403

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Atena Hospice, Inc.'s NPI number?

The NPI number for Atena Hospice, Inc. is 1902374242. It was assigned to this organization in the NPPES registry on November 5, 2018.

Where is Atena Hospice, Inc. located?

Atena Hospice, Inc. is located at 13735 Victory Blvd Ste 8, Van Nuys, CA 91401. The listed phone number is (818) 302-0026.

What is Atena Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Atena Hospice, Inc. enrolled in Medicare?

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

When is Atena 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 November 30, 2026. 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.

Does Atena Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2297982) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atena Hospice, Inc. was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.