Organization Active NPI

Bleu Line Health Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1124600747
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BLEU LINE HEALTH INC.
Practice address
220 S Kenwood St Ste 102
Glendale, CA 91205-1671
Phone
(818) 751-0462
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Eliza Chobanyan
Title
Ceo / President
Phone
(818) 751-0462

Specialties & licenses 1

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

Addresses

Primary practice location

220 S Kenwood St Ste 102
Glendale, CA 91205-1671

Mailing address

220 S Kenwood St Ste 102
Glendale, CA 91205-1671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1124600747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S KENWOOD ST STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S KENWOOD ST STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051671",
            "telephone_number": "818-751-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEU LINE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CHOBANYAN",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "818-751-0462"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.