Studio City Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STUDIO CITY HOSPICE INC

Practice address

12500 Riverside Dr
Suite 205
Studio City, CA 91607-3423

Phone

(818) 505-0019

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Anna Miduryan

Title

Ceo

Phone

(818) 505-0019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751529

Legal name

STUDIO CITY HOSPICE, INC.

Doing business as

COMPREHENSIVE HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 1, 2014

Last certification

Apr 28, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

3440 Wilshire Blvd
Ste 1108-a
Los Angeles, CA 90010-2101

Listed as

Comprehensive Hospice Care, IncCCN 751529

Ownership

For-Profit

Certified

Mar 1, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1295034270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR",
            "address_2": "SUITE 205",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073423",
            "telephone_number": "818-505-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR",
            "address_2": "SUITE 205",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073423",
            "telephone_number": "818-505-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDIO CITY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "MIDURYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-505-0019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Stover, LMFT
• Studio Care Hospice Inc
• Studio City Anesthesia Medical Associates, Inc.
• Studio City Clinical Associates a Licensed Clinical Social Worker Corp
• Studio City Convalescent Hospital LLC
• Studio City Recovery
• Studio City Surgical Center
• Studio City Urgent Care and Medical Center
• Tyesha Lashon Sullivan, BSN, RN
• Sally L. Swann, L.C.S.W.

• Community Based Hospice Care Agency in Studio City, CA
• Providers in Studio City, 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 Jan 8, 2013; 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.

Verify at the official NPI Registry.