Crystal Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CRYSTAL HOSPICE, INC.

Practice address

350 Arden Ave Ste 203
Glendale, CA 91203-1110

Phone

(818) 906-4466

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Siranush Korkotyan

Title

Ceo

Phone

(818) 906-4466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1225798374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "telephone_number": "818-906-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "KORKOTYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-906-4466"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Cruz
• Michael Cruz
• Crystal Adult Day Health Care
• Crystal Care Home Health Services Inc.
• Crystal Clear Home Health, Inc.
• Crystal Surgical Center
• Crystalcare Home Health, Inc
• CTSH Burbank, LLC
• Gilbert Cubias
• Carmen Anita Cueto, MD

• 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 Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.