Bright Source Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIGHT SOURCE HOSPICE LLC

Practice address

925 N la Brea Ave FL 5
West Hollywood, CA 90038-3161

Phone

(310) 383-7760

Fax

(310) 405-0808

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Querubin Ignacio

Title

Ceo

Phone

(310) 383-7760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41793

Legal name

BRIGHT SOURCE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 11, 2022

Last certification

Mar 11, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Apr 28, 2020 in CA

Enrollment address

22024 Lassen St
Ofc 113
Chatsworth, CA 91311-3600

Listed as

Bright Source Hospice LLCCCN B41793

Certified

Mar 11, 2022

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

Tax ID family

Bright Source Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bright Source Hospice LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • West Hollywood, CA
  • NPI 1659295343
  NPD tax ID

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Erlinda Dy Grey, M.D.

  • Ph.D. Medical Genetics
  • Panorama City, CA
  • NPI 1356568752

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1093337784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N LA BREA AVE FL 5",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900383161",
            "telephone_number": "310-383-7760",
            "fax_number": "310-405-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N LA BREA AVE FL 5",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900383161",
            "telephone_number": "310-383-7760",
            "fax_number": "310-405-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SOURCE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "QUERUBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-383-7760"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd V Brennan, M.D.
• Zachary Joseph Brennan, DO
• Brentview Medical Inc.
• Steven Bressler, M.D.
• Suzane K. Brian, PA
• Bright Source Hospice LLC
• Nicole Esguerra Briones, AGACNP-BC
• Cody Gilbert Brisendine
• Noam Broder
• Allison Erin Bronstein

• Community Based Hospice Care Agency in West Hollywood, CA
• Providers in West Hollywood, 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 Jul 29, 2026; 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.