Active NPI
Illuminate Hospice Care Inc
- Community Based Hospice Care Agency
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ILLUMINATE HOSPICE CARE INC
- Practice address
- 3607 W Magnolia Blvd
Suite 2
Burbank, CA 91505-2962 - Phone
- (323) 401-0508
- Fax
- (818) 848-8905
- NPI assigned
- Sep 2, 2014
- 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
- Natalie Hagopian
- Title
- Ceo
- Phone
- (323) 401-0508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3607 W Magnolia Blvd
Suite 2
Burbank, CA 91505-2962
Mailing address
3607 W Magnolia Blvd
Suite 2
Burbank, CA 91505-2962
Phone (323) 401-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180327000602 | CA | Part A Provider - Hospice | 1557623857 | Practice locations: Burbank, CA |
Hospice certification: CCN A01619
- Legal name
- ILLUMINATE HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 4, 2018
- Last certification
- Oct 4, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 14, 2014 in CA
- Enrollment address
- 3607 W Magnolia Blvd
Ste 2
Burbank, CA 91505-2962
Care Compare: Hospice
Medicare Care Compare- Listed as
- Illuminate Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Oct 4, 2018
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2115466 | Illuminate Hospice Care Inc | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
3607 W Magnolia Blvd
Ste 2
Burbank, CA 91505
Phone (323) 401-0508
718 S Hill St
Ste 204
Los Angeles, CA 90014
706 S Hill St
Ste 850
Los Angeles, CA 90014
Phone (323) 401-0508
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 |
|---|---|---|---|
| Natalie Hagopian | 5% Or Greater Direct Ownership Interest | May 14, 2014 | 100% |
| Corporate Officer | Dec 31, 2017 | ||
| W-2 Managing Employee | Dec 31, 2017 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1841489440
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": "1409616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1154721793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 W MAGNOLIA BLVD",
"address_2": "SUITE 2",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052962",
"telephone_number": "323-401-0508",
"fax_number": "818-848-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 W MAGNOLIA BLVD",
"address_2": "SUITE 2",
"city": "BURBANK",
"state": "CA",
"postal_code": "915052962",
"telephone_number": "323-401-0508",
"fax_number": "818-848-8905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMINATE HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-02",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "HAGOPIAN",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-401-0508"
},
"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 Jul 15, 2024; 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.