Prime Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIME CARE HOSPICE INC

Practice address

1540 W Glenoaks Blvd Ste 203
Glendale, CA 91201-3162

Phone

(818) 937-2666

Fax

(818) 937-2667

NPI assigned

Apr 25, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Elza Martirosyan

Title

Ceo

Phone

(818) 937-2666

Specialties & licenses 1

Addresses

Listed as

Prime Care Hospice IncCCN A11657

Ownership

For-Profit

Certified

Sep 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1194389007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013162",
            "telephone_number": "818-937-2666",
            "fax_number": "818-937-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013162",
            "telephone_number": "818-937-2666",
            "fax_number": "818-937-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIROSYAN",
        "authorized_official_first_name": "ELZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-937-2666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prime Family Clinic Inc
• Prime Foot Care
• Prime Home Health Inc
• Prime Imaging Inc
• Prime Medical Management

• 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 25, 2019; 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.