Blooming Life Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLOOMING LIFE HOSPICE

Practice address

600 W Broadway Ste 300
Glendale, CA 91204-1025

Phone

(818) 619-2222

Fax

(818) 484-5199

NPI assigned

Jun 24, 2020

Last updated

Apr 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Narine Shakhmuradyan

Title

Ceo

Phone

(818) 818-3690

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1194341164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041025",
            "telephone_number": "818-619-3333",
            "fax_number": "818-484-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041025",
            "telephone_number": "818-619-2222",
            "fax_number": "818-484-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING LIFE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SHAKHMURADYAN",
        "authorized_official_first_name": "NARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-818-3690"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Shield Hospice
• Blue Skies Hospice Inc
• Peter Kwaku Boateng, RN

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.