Active NPI
Statewide Hospice, Inc.
- Community Based Hospice Care Agency
- Glendale, CA
National Provider Identifier
1376167965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- STATEWIDE HOSPICE, INC.
- Practice address
- 1110 Sonora Ave Ste 103
Glendale, CA 91201-3167 - Phone
- (818) 937-9095
- NPI assigned
- May 30, 2020
- 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
- Gayane Musayelyan
- Title
- Ceo
- Phone
- (818) 937-9095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1110 Sonora Ave Ste 103
Glendale, CA 91201-3167
Mailing address
1110 Sonora Ave Ste 103
Glendale, CA 91201-3167
Phone (818) 937-9095
Care Compare: Hospice
Medicare Care Compare- Listed as
- Statewide Hospice, Inc
- Ownership
- For-Profit
- Certified
- May 13, 2021
- Medicare certification status
- Active
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 DirectoryLocations
1110 Sonora Ave
Ste 103
Glendale, CA 91201
Phone (818) 937-9095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590796800000",
"number": "1376167965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SONORA AVE STE 103",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013167",
"telephone_number": "818-937-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SONORA AVE STE 103",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912013167",
"telephone_number": "818-937-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATEWIDE HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-30",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A",
"authorized_official_last_name": "MUSAYELYAN",
"authorized_official_first_name": "GAYANE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-937-9095"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.