Organization Active NPI

Moonlight Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1205297314
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MOONLIGHT HOSPICE CARE, INC
Practice address
348 E Olive Ave
Suite J
Burbank, CA 91502-1235
Phone
(818) 429-0797
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Hripsime Chilian
Title
Ceo
Phone
(818) 429-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

348 E Olive Ave
Suite J
Burbank, CA 91502-1235

Mailing address

348 E Olive Ave Ste J
Burbank, CA 91502-1226
Phone (424) 209-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502001996 CA Part A Provider - Hospice 7012271810 Practice locations: Burbank, CA

Hospice certification: CCN A01662

Legal name
MOONLIGHT HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 13, 2019
Last certification
Sep 13, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 23, 2016 in CA
Enrollment address
348 E Olive Ave
Ste J
Burbank, CA 91502-1226

Care Compare: Hospice

Medicare Care Compare
Listed as
Moonlight Hospice Care, IncCCN A01662 · All quality measures
Ownership
For-Profit
Certified
Sep 13, 2019
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
05D2152255Moonlight Hospice Care, Inc.348 E Olive Ave Ste J, Burbank, CA 91502Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

348 E Olive Ave
Ste J
Burbank, CA 91502
Phone (818) 429-0797

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
Hripsime Chilian Individual 5% Or Greater Direct Ownership Interest Feb 23, 2016 100%
Corporate OfficerCeo, President Feb 23, 2016 50%
W-2 Managing EmployeeCeo, President Feb 23, 2016 100%

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1205297314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E OLIVE AVE STE J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021226",
            "telephone_number": "424-209-9799",
            "fax_number": "818-337-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E OLIVE AVE",
            "address_2": "SUITE J",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021235",
            "telephone_number": "818-429-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CHILIAN",
        "authorized_official_first_name": "HRIPSIME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-429-0797"
    },
    "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.