Life Bridge Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE BRIDGE HOSPICE CARE, INC.

Practice address

353 E Angeleno Ave Ste K
Burbank, CA 91502-1310

Phone

(747) 247-1245

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

Elen Gabrielyan

Title

Ceo

Phone

(747) 247-1245

Specialties & licenses 1

Addresses

Listed as

Life Bridge Hospice Care, IncCCN B41524

Certified

Oct 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Affiliated clinicians 1

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

• Ehsan Ali, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1548451297

  Hospice

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1205443272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE STE K",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310",
            "telephone_number": "747-247-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E ANGELENO AVE STE K",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021310",
            "telephone_number": "747-247-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BRIDGE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "GABRIELYAN",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-247-1245"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Licauco, NP
• Emmanuel Licup, PT, DPT
• Lidia Alzate DC a Chiropractic Corporation
• Wayne Peter Liebman, M.D.
• Sophia Clarissa Liem, O.D.
• Life House Hospiceinc
• Life to Life Hospice Care, Inc.
• Lifehouse Healthcare Inc
• Lifeline Med. Inc
• Lifes Journey Hospice, Inc.

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 27, 2023; 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.