Shine Hospice and Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHINE HOSPICE AND PALLIATIVE CARE

Practice address

130 N Brand Blvd Ste 301
Glendale, CA 91203-4623

Phone

(714) 770-0152

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emil Golub

Title

Owner/Ceo

Phone

(714) 770-0152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1306413273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034623",
            "telephone_number": "714-770-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "714-770-0152"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathy Shinozaki, P.A.
• Mariah Shipp
• Mehrnoosh Shirazi
• Kim K. Shirin, PH.D.

• 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 Jun 8, 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.