Active NPI
Modern Hospice Care, Inc.
- Community Based Hospice Care Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MODERN HOSPICE CARE, INC.
- Practice address
- 3639 Foothill Blvd Ste 101
Glendale, CA 91214-1756 - Phone
- (818) 330-9464
- Fax
- (833) 262-6647
- NPI assigned
- Mar 7, 2019
- 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
- Adrienne Nussbaum
- Title
- Cfo
- Phone
- (760) 774-9996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3639 Foothill Blvd Ste 101
Glendale, CA 91214-1756
Mailing address
3639 Foothill Blvd Ste 101
Glendale, CA 91214-1756
Phone (818) 330-9464
Care Compare: Hospice
Medicare Care Compare- Listed as
- Modern Hospice Care
- Ownership
- For-Profit
- Certified
- Jun 4, 2020
- Medicare certification status
- Active
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 DirectoryLocations
3639 Foothill Blvd
Ste 101
La Crescenta, CA 91214
Phone (818) 330-9464
24868 Apple St
Ste 102
Santa Clarita, CA 91321
Phone (661) 425-7017
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1551916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1255899381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3639 FOOTHILL BLVD STE 101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912141756",
"telephone_number": "818-330-9464",
"fax_number": "833-262-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3639 FOOTHILL BLVD STE 101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912141756",
"telephone_number": "818-330-9464",
"fax_number": "833-262-6647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-07",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "NUSSBAUM",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "760-774-9996"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.