Flintridge Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FLINTRIDGE HOSPICE CARE INC

Practice address

2600 Foothill Blvd Ste 113
La Crescenta, CA 91214-4578

Phone

(818) 445-8523

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Gilbert Gabrielian

Title

Ceo

Phone

(818) 445-8523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41748

Legal name

FLINTRIDGE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 17, 2022

Last certification

Sep 28, 2022

Organization structure

CorporationProprietary

Incorporated

Feb 1, 2021 in CA

Enrollment address

2600 Foothill Blvd
Ste 113
La Crescenta, CA 91214-4501

Listed as

Flintridge Hospice Care, IncCCN B41748 · All quality measures

Certified

Oct 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1295314433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 113",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144578",
            "telephone_number": "818-445-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FOOTHILL BLVD STE 113",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144578",
            "telephone_number": "818-445-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINTRIDGE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "GABRIELIAN",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-445-8523"
    },
    "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 La Crescenta, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.