Breeze of Life Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BREEZE OF LIFE INC

Practice address

412 W Broadway Ste 202
Glendale, CA 91204-1297

Phone

(818) 396-5776

Fax

(818) 396-5778

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Susana Demirchyan

Title

Ceo/Administrator

Phone

(818) 396-5776

Specialties & licenses 1

Addresses

Listed as

Breeze of Life, IncCCN 921626

Ownership

For-Profit

Certified

May 9, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1225422611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 SMYTH DR.",
            "address_2": "SUITE108",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913554033",
            "telephone_number": "661-775-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W BROADWAY STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041297",
            "telephone_number": "818-396-5776",
            "fax_number": "818-396-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE OF LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "DEMIRCHYAN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-396-5776"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 10, 2022; 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.