Organization Active NPI

MD Care Hospice

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1104436955
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MD CARE HOSPICE
Practice address
303 N Glenoaks Blvd # 207
Burbank, CA 91502-1116
Phone
(562) 800-4010
Fax
(562) 800-4020
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Rimoun Makhlouf
Title
Owner
Phone
(805) 455-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

303 N Glenoaks Blvd # 207
Burbank, CA 91502-1116

Mailing address

303 N Glenoaks Blvd # 207
Burbank, CA 91502-1116
Phone (562) 800-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819002971 CA Part A Provider - Hospice 4486070547 Practice locations: Burbank, CA

Hospice certification: CCN A11693

Legal name
MD CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 31, 2020
Last certification
Oct 31, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 21, 2020 in CA
Enrollment address
303 N Glenoaks Blvd
Ste 207
Burbank, CA 91502-1116

Care Compare: Hospice

Medicare Care Compare
Listed as
MD Care HospiceCCN A11693
Ownership
For-Profit
Certified
Oct 31, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

303 N Glenoaks Blvd
Ste 207
Burbank, CA 91502
Phone (747) 248-7009

303 N Glenoaks Blvd
#207
Burbank, CA 91502
Phone (562) 800-4010

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Rimoun Ibrahim Makhlouf Individual 5% Or Greater Direct Ownership Interest55% Owner/Treasurer Nov 30, 2022 55%
Corporate Officer50% Owner/Treasurer Nov 30, 2022 55%
Brandon Arbiter Abdullatif Individual 5% Or Greater Direct Ownership Interest45% Owner/Ceo/President Jan 4, 2021 45%
Corporate Officer45% Owner/Ceo/President Jan 4, 2021 45%
Corporate DirectorManager Nov 30, 2022 45%
Operational/Managerial ControlManager Nov 30, 2022 45%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1104436955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD # 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021116",
            "telephone_number": "562-800-4010",
            "fax_number": "562-800-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD # 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021116",
            "telephone_number": "562-800-4010",
            "fax_number": "562-800-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MAKHLOUF",
        "authorized_official_first_name": "RIMOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-455-1886"
    },
    "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

Verify at the official NPI Registry.