Cardinal Care Hospice Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CARDINAL CARE HOSPICE INC

Practice address

1110 N Western Ave Ste 204
Los Angeles, CA 90029-1087

Phone

(323) 962-3840

Fax

(323) 962-3852

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Movses Shirinian, PHD

Title

Ceo

Phone

(323) 962-3840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21772

Legal name

CARDINAL CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 30, 2021

Last certification

Sep 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 30, 2014 in CA

Enrollment address

1110 N Western Ave
Ste 206
Los Angeles, CA 90029-1087

Listed as

Cardinal Care Hospice, IncCCN B21772

Ownership

For-Profit

Certified

Sep 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Moses Shirinian, PH.D

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1477902864

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moses Shirinian, PH.D

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1477902864
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Philip H Lee, D.O.

  • General Practice Physician
  • Burbank, CA
  • NPI 1992981161

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1386012391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110N WESTERN AVE #204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-962-3840",
            "fax_number": "323-962-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N WESTERN AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291087",
            "telephone_number": "323-962-3840",
            "fax_number": "323-962-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "SHIRINIAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-962-3840",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.

Verify at the official NPI Registry.