Organization Active NPI

Reliance Hospice Services, Inc.

  • Community Based Hospice Care Agency
  • San Fernando, CA
National Provider Identifier
1003249475
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RELIANCE HOSPICE SERVICES, INC.
Practice address
601 S Brand Blvd Ste 312
San Fernando, CA 91340-4040
Phone
(818) 433-3624
Fax
(818) 333-7285
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Ivan Lauritzen, NHA 7607
Title
Administrator
Phone
(818) 548-2684

Specialties & licenses 1

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

Addresses

Primary practice location

601 S Brand Blvd Ste 312
San Fernando, CA 91340-4040

Mailing address

601 S Brand Blvd Ste 312
San Fernando, CA 91340-4040
Phone (818) 433-3624

Care Compare: Hospice

Medicare Care Compare
Listed as
Reliance Hospice Services, IncCCN 751721
Ownership
For-Profit
Certified
Jun 1, 2015
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).

National Provider Directory

National Provider Directory

Locations

356 W Colorado St
Unit C
Glendale, CA 91204
Phone (818) 433-3624

601 S Brand Blvd
Ste 311
San Fernando, CA 91340
Phone (818) 433-3624

601 S Brand Blvd
Ste 312
San Fernando, CA 91340
Phone (818) 548-2684

14540 Victory Blvd
#229
Van Nuys, CA 91411
Phone (818) 962-0321

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1003249475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BRAND BLVD STE 312",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404040",
            "telephone_number": "818-433-3624",
            "fax_number": "818-333-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BRAND BLVD STE 312",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404040",
            "telephone_number": "818-433-3624",
            "fax_number": "818-333-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-548-2684",
        "authorized_official_credential": "NHA 7607"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.