Active NPI
Glenmark Nursing Care Services Inc.
- Community Based Hospice Care Agency
- Encino, CA
National Provider Identifier
1215545850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GLENMARK NURSING CARE SERVICES INC.
- Practice address
- 15840 Ventura Blvd Ste 300
Encino, CA 91436-2939 - Phone
- (747) 477-5400
- Fax
- (213) 375-1338
- NPI assigned
- Jul 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carleonid Rondon
- Title
- Ceo
- Phone
- (747) 477-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
15840 Ventura Blvd Ste 300
Encino, CA 91436-2939
Mailing address
15840 Ventura Blvd Ste 300
Encino, CA 91436-2939
Phone (747) 477-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201009001085 | CA | Part A Provider - Hospice | 8527488782 | Practice locations: La Crescenta, CA |
Hospice certification: CCN B31704
- Legal name
- GLENMARK NURSING CARE SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 17, 2021
- Last certification
- Oct 17, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 26, 2020 in CA
- Enrollment address
- 2600 Foothill Blvd
Ste 105
La Crescenta, CA 91214-4578
Care Compare: Hospice
Medicare Care Compare- Listed as
- Glenmark Nursing Care Services Inc.
- Certified
- Oct 17, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15840 Ventura Blvd
Ste 300
Encino, CA 91436
Phone (747) 477-5400
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Svitlana Piotrovskaya | W-2 Managing Employee | Oct 9, 2024 | |
| Carleonid Rondon | 5% Or Greater Direct Ownership Interest | Oct 27, 2022 | 100% |
| Corporate Officer | Oct 27, 2022 | 100% | |
| Corporate Director | Oct 27, 2022 | 100% | |
| W-2 Managing Employee | Oct 27, 2022 | 100% | |
| Vaan Gevorkian | Contracted Managing Employee | Oct 1, 2024 | |
| Michael Sheinin | Contracted Managing Employee | Oct 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1023467214
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1215545850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15840 VENTURA BLVD STE 300",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362939",
"telephone_number": "747-477-5400",
"fax_number": "213-375-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15840 VENTURA BLVD STE 300",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362939",
"telephone_number": "747-477-5400",
"fax_number": "213-375-1338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENMARK NURSING CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "RONDON",
"authorized_official_first_name": "CARLEONID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-477-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
- Giselle Namazie MD a Medical Corporation
- Jacob Gisis
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- Glaser Fornesic Group
- Jeffrey B Glaser, MD
- Glenna Tolbert MD a Medical Corporation (Center for Rehabilitation and Wellness)
- Glenna Tolbert, MD, a Medical Corporation (Center for Rehabilitation & Wellness)
- Craig Allen Glick, DDS
- David Georg Glick, M.D.
- Linda Susan Glick, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.