Active NPI
Peace and Love Services
- Community Based Hospice Care Agency
- Burbank, CA
National Provider Identifier
1053923649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PEACE AND LOVE SERVICES
- Practice address
- 105 W Alameda Ave Ste 200
Burbank, CA 91502-2259 - Phone
- (747) 245-4645
- NPI assigned
- Aug 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hovik Seysyan
- Title
- Ceo
- Phone
- (747) 245-4645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
105 W Alameda Ave Ste 200
Burbank, CA 91502-2259
Mailing address
105 W Alameda Ave Ste 200
Burbank, CA 91502-2259
Phone (747) 245-4645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201028000349 | CA | Part A Provider - Hospice | 9335559673 | Practice locations: Burbank, CA |
Hospice certification: CCN A11689
- Legal name
- PEACE AND LOVE SERVICES
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 11, 2021
- Last certification
- Jan 11, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 21, 2020 in CA
- Enrollment address
- 105 W Alameda Ave
Ste 200
Burbank, CA 91502-2259
Care Compare: Hospice
Medicare Care Compare- Listed as
- Peace and Love Services
- Ownership
- For-Profit
- Certified
- Jan 11, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
105 W Alameda Ave
Ste 200
Burbank, CA 91502
Phone (747) 245-4645
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hovik Seysyan | 5% Or Greater Direct Ownership Interest | Jun 8, 2022 | 100% |
| Corporate Officer | Jun 8, 2022 | 100% | |
| Corporate Director | Jun 8, 2022 | 100% | |
| W-2 Managing Employee | Jun 8, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666742400000",
"number": "1053923649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W ALAMEDA AVE STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022259",
"telephone_number": "747-245-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W ALAMEDA AVE STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022259",
"telephone_number": "747-245-4645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE AND LOVE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A",
"authorized_official_last_name": "SEYSYAN",
"authorized_official_first_name": "HOVIK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-245-4645"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.