Longevity Hospice Care Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LONGEVITY HOSPICE CARE SERVICES, INC.

Practice address

229 N Central Ave
Ste 607
Glendale, CA 91203-3507

Phone

(323) 770-2222

NPI assigned

Dec 12, 2014

Organization subpart

No

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

Authorized official

Name

Hasmik Aghajanyan

Title

President/Ceo

Phone

(323) 770-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921691

Legal name

LONGEVITY HOSPICE CARE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 5, 2017

Last certification

Apr 29, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 25, 2014 in CA

Enrollment address

229 N Central Ave
Ste 607
Glendale, CA 91203-3531

Listed as

Longevity Hospice Care Services, Inc.CCN 921691

Ownership

For-Profit

Certified

May 5, 2017

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 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1356352108

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1033517610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE",
            "address_2": "STE 607",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033507",
            "telephone_number": "323-770-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE",
            "address_2": "STE 607",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033507",
            "telephone_number": "323-770-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY HOSPICE CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "AGHAJANYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-770-2222"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Loewy
• Anna Britta Lombard, OTR/L
• Long Life Home Health, Inc
• Long Term Health Care Hospice Inc
• Robin Stacy Long, D.C.
• Stephanie Loo, D.P.T.
• Tyler Loomis
• Christian Lopez Bernardino
• Grace Lopez Donovan
• Lucia Lopez Frias

• 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 Dec 12, 2014; 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.