Organization Active NPI

Hope & Care Hospice

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1407440308
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOPE & CARE HOSPICE
Practice address
183 N Hill Ave Ste 204
Pasadena, CA 91106-1915
Phone
(626) 314-3318
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Georgi Lisikian
Title
Ceo
Phone
(626) 314-3318

Specialties & licenses 1

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

Addresses

Primary practice location

183 N Hill Ave Ste 204
Pasadena, CA 91106-1915

Mailing address

183 N Hill Ave Ste 204
Pasadena, CA 91106-1915
Phone (626) 314-3318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211227000008 CA Part A Provider - Hospice 1052702289 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407440308. Details of each certification follow.

Hospice certification: CCN B41554

Legal name
HOPE&CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 2022
Last certification
May 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 14, 2021 in CA
Enrollment address
183 N Hill Ave
Ste 204
Pasadena, CA 91106-1915

Care Compare: Hospice

Medicare Care Compare
Listed as
Hope & Care HospiceCCN B41554 · All quality measures
Certified
May 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

183 N Hill Ave
Ste 204
Pasadena, CA 91106
Phone (626) 314-3318

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Georgiy Lisikian Individual 5% Or Greater Direct Ownership InterestCeo Jan 14, 2021 100%
Corporate OfficerCeo Jan 14, 2021
Corporate DirectorCeo Jan 14, 2021
W-2 Managing EmployeeCeo Jan 14, 2021

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1407440308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 N HILL AVE STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061915",
            "telephone_number": "626-314-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 N HILL AVE STE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061915",
            "telephone_number": "626-314-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "LISIKIAN",
        "authorized_official_first_name": "GEORGI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-314-3318"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.