Organization Active NPI

Rubicon Hospice Care

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1235799123
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RUBICON HOSPICE CARE
Practice address
2001 Beverly Blvd Ste 211
Los Angeles, CA 90057-2403
Phone
(888) 576-0059
Fax
(818) 600-9250
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mr. Glen Arnold
Title
Ceo
Phone
(888) 576-0059

Specialties & licenses 1

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

Addresses

Primary practice location

2001 Beverly Blvd Ste 211
Los Angeles, CA 90057-2403

Mailing address

2001 Beverly Blvd Ste 211
Los Angeles, CA 90057-2403
Phone (888) 576-0059

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Care Compare: Hospice

Medicare Care Compare
Listed as
Rubicon Hospice CareCCN A01736
Ownership
For-Profit
Certified
Feb 11, 2020

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

2001 Beverly Blvd
Ste 211
Los Angeles, CA 90057
Phone (888) 576-0059

14545 Friar St
Ste 225
Van Nuys, CA 91411
Phone (800) 428-8058

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1235799123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BEVERLY BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "888-576-0059",
            "fax_number": "818-600-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 BEVERLY BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572403",
            "telephone_number": "888-576-0059",
            "fax_number": "818-600-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-576-0059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.