Ultra Star Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ULTRA STAR HOSPICE, INC.

Practice address

12501 Chandler Blvd Ste 105a
Valley Village, CA 91607-1941

Phone

(818) 464-7079

Fax

(818) 688-5047

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Sergey Bedrossian

Title

Ceo

Phone

(818) 646-7079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chirag Dinesh Bhavsar, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1386703007
  NPD (past)

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1134705296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 105A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-464-7079",
            "fax_number": "818-688-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD STE 105A",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-464-7079",
            "fax_number": "818-688-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA STAR HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "BEDROSSIAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-646-7079"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Valley Village, CA
• Providers in Valley Village, 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 Mar 19, 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.