Progressive Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROGRESSIVE CARE HOSPICE INC

Practice address

8703 Sunland Blvd # B
Sun Valley, CA 91352-2839

Phone

(818) 473-0267

Fax

(818) 797-5101

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Lusine Ashrafyan

Title

Ceo

Phone

(818) 473-0267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN D61515

Legal name

PROGRESSIVE CARE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 12, 2024

Last certification

Mar 1, 2024

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2021 in CA

Enrollment address

18455 Burbank Blvd
Ste 501
Tarzana, CA 91356-2803

Listed as

Progressive Care HospiceCCN D61515

Certified

Mar 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brandi Kathryn Ross-Douglas, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Merrillville, IN
  • NPI 1588779904

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Brandi Kathryn Ross-Douglas, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Merrillville, IN
  • NPI 1588779904

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1174299200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 SUNLAND BLVD # B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522839",
            "telephone_number": "818-473-0267",
            "fax_number": "818-797-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 SUNLAND BLVD # B",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522839",
            "telephone_number": "818-473-0267",
            "fax_number": "818-797-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ASHRAFYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-473-0267"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remy Potkin, PMHNP
• Pouya Parsa DDS Inc
• Karen Susan Prado, RADT
• Jose Luis Prieto Jordan, MD
• Progressive Care Home Health Services
• Prospective Home Health Services
• Prospective Hospice Inc
• Pure Home Health
• Pure Wellness Home Care, Inc.
• Diana Renee Putignano, ATC

• Community Based Hospice Care Agency in Sun Valley, CA
• Providers in Sun Valley, 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 Aug 18, 2021; 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.

Verify at the official NPI Registry.