Life Line Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE LINE HOSPICE, INC.

Practice address

412 W Broadway Ste 307
Glendale, CA 91204-1297

Phone

(747) 215-6095

Fax

(747) 777-4275

NPI assigned

Dec 25, 2020

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mher Baghdasaryan

Title

Ceo

Phone

(747) 215-6095

Specialties & licenses 1

Addresses

Listed as

Life Line Hospice, Inc.CCN B51703

Certified

Jun 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parichehr Angela Tabibian, MD

  • Hospitalist Physician
  • Tarzana, CA
  • NPI 1154521730
  NPD (past)

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1013504919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "747-215-6095",
            "fax_number": "747-777-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "747-215-6095",
            "fax_number": "747-777-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "MHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-215-6095"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 17, 2024; 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.