Organization Active NPI

Illuminate Hospice Care Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1154721793
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 15, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN A01619
Ownership
For-Profit
Certified
Oct 4, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2115466Illuminate Hospice Care Inc3607 W Magnolia Blvd, Ste 2, Burbank, CA 91505Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Natalie Hagopian Individual 5% Or Greater Direct Ownership InterestCeo May 14, 2014 100%
Corporate OfficerCeo 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.

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

Verify at the official NPI Registry.