Organization Active NPI

Summit Hospice Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1306430343
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
101 S 1St St
Ste 405B
Burbank, CA 91502-1938

Care Compare: Hospice

Medicare Care Compare
Listed as
Summit Hospice, Inc.CCN D61570 · All quality measures
Certified
Jun 19, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Robert E Ladines Individual Contracted Managing EmployeeMD; Jun 2, 2025
Natalie Darmandjian Individual 5% Or Greater Direct Ownership Interest Jul 11, 2022 100%
Corporate OfficerCeo, Cfo,Secretary & Admin Jul 11, 2022 100%
Corporate DirectorCeo, Cfo,Secretary & Admin Jul 11, 2022 100%
W-2 Managing EmployeeAd;Ceo, Cfo,Secretary & Admin 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.

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

Verify at the official NPI Registry.