Faith & Life Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH & LIFE HOSPICE INC

Practice address

356 W Colorado St Ste C
Glendale, CA 91204-1603

Phone

(818) 918-1589

Fax

(323) 417-4707

NPI assigned

Jun 14, 2018

Organization subpart

No

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

Authorized official

Name

Vahik Vartoomian

Title

Ceo

Phone

(818) 918-1589

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21587

Legal name

FAITH & LIFE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 22, 2021

Last certification

Apr 22, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 2, 2017 in CA

Enrollment address

356 W Colorado St
Ste C
Glendale, CA 91204-1603

Listed as

Faith & Life Hospice IncCCN B21587

Ownership

For-Profit

Certified

Apr 22, 2021

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.

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1013401959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W COLORADO ST STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041603",
            "telephone_number": "818-918-1589",
            "fax_number": "323-417-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W COLORADO ST STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041603",
            "telephone_number": "818-918-1589",
            "fax_number": "323-417-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 Devonshire St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913452767",
            "country_code": "US",
            "telephone_number": "818-918-1589",
            "fax_number": "323-417-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITH & LIFE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "VARTOOMIAN",
        "authorized_official_first_name": "VAHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-918-1589"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BUSINESSEMAILADDRESS",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL ADDRESS",
            "address_1": "356 W Colorado St Ste C",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912041603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kareelen Fabian, PTA
• Nicole Antonia Fabris-Carral, M.D.
• Rachel Victoria Facio
• Faculty Physicians and Surgeons of Llusm
• Anthony Faggioli IV, AMFT
• Faith in Action Project
• Jorge Fajardo
• Tracy-Jane Luyun Fajota, AGACNP-BC
• Jacob John Fakoory, M.D.
• Family & Friends Home Health Care Inc

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jun 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.