Paradise Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PARADISE HOSPICE INC

Practice address

1864 E Washington Blvd
Suite 207
Pasadena, CA 91104-1666

Phone

(626) 794-1050

Fax

(626) 794-1202

NPI assigned

Jan 13, 2007

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Varsenik Vicki Oganesyan

Title

President/Owner

Phone

(626) 794-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396896866. Details of each certification follow.

• CCN 551599 Hospice · Active · Details

Hospice certification: CCN 551599

Legal name

PARADISE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 4, 2010

Last certification

Aug 23, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 8, 2007 in CA

Enrollment address

1864 E Washington Blvd
Ste 207
Pasadena, CA 91104-1667

Listed as

Paradise Hospice, IncCCN 551599 · All quality measures

Ownership

For-Profit

Certified

Nov 4, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1396896866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 E WASHINGTON BLVD",
            "address_2": "#207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041666",
            "telephone_number": "626-376-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 E WASHINGTON BLVD",
            "address_2": "SUITE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041666",
            "telephone_number": "626-794-1050",
            "fax_number": "626-794-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "VARSENIK",
        "authorized_official_middle_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-794-1050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.