Active NPI
Summit Hospice Inc
- Community Based Hospice Care Agency
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SUMMIT HOSPICE INC
- Practice address
- 101 S 1St St Ste 405B
Burbank, CA 91502-1938 - Phone
- (818) 722-1141
- Fax
- (818) 722-1142
- NPI assigned
- Feb 20, 2021
- Last updated
- Oct 23, 2024
- 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
- Natalie Darmandjian
- Title
- Ceo
- Phone
- (818) 722-1141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
101 S 1St St Ste 405B
Burbank, CA 91502-1938
Mailing address
101 S 1St St Ste 405B
Burbank, CA 91502-1938
Phone (818) 722-1141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221228002418 | CA | Part A Provider - Hospice | 4284027871 | Practice locations: Burbank, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1306430343. Details of each certification follow.
Hospice certification: CCN D61570
- Legal name
- SUMMIT HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 19, 2022
- Last certification
- May 18, 2022
- Organization structure
- Corporation
- Enrollment address
- 101 S 1St St
Ste 405B
Burbank, CA 91502-1938
Care Compare: Hospice
Medicare Care Compare- Listed as
- Summit Hospice, Inc.
- Certified
- Jun 19, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
101 S 1st St
Ste 405B
Burbank, CA 91502
Phone (818) 722-1141
639 S Glenwood Pl
Unit 108
Burbank, CA 91506
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert E Ladines | Contracted Managing Employee | Jun 2, 2025 | |
| Natalie Darmandjian | 5% Or Greater Direct Ownership Interest | Jul 11, 2022 | 100% |
| Corporate Officer | Jul 11, 2022 | 100% | |
| Corporate Director | Jul 11, 2022 | 100% | |
| W-2 Managing Employee | Jul 11, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1033219084
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1306430343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S 1ST ST STE 405B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021938",
"telephone_number": "818-722-1141",
"fax_number": "818-722-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 1ST ST STE 405B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021938",
"telephone_number": "818-722-1141",
"fax_number": "818-722-1142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-20",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "DARMANDJIAN",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-722-1141"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.