Organization Active NPI

Glencare Hospice Services, Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1346805934
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GLENCARE HOSPICE SERVICES, INC
Practice address
639 S Glenwood PL Ste 207
Burbank, CA 91506-2819
Phone
(747) 577-2585
Fax
(747) 200-7556
NPI assigned
May 8, 2019
Last updated
May 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Khoren Jeragyan
Title
President
Phone
(747) 577-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

639 S Glenwood PL Ste 207
Burbank, CA 91506-2819

Mailing address

639 S Glenwood PL Ste 207
Burbank, CA 91506-2819
Phone (747) 577-2585

Care Compare: Hospice

Medicare Care Compare
Listed as
Glencare Hospice Services, IncCCN A11766
Ownership
For-Profit
Certified
Jan 11, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

639 S Glenwood Pl
#207
Burbank, CA 91506
Phone (747) 477-2585

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1346805934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL STE 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "747-577-2585",
            "fax_number": "747-200-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL STE 207",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "747-577-2585",
            "fax_number": "747-200-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCARE HOSPICE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "JERAGYAN",
        "authorized_official_first_name": "KHOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-577-2585"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.