Organization Active NPI

Good Fellows Hospice Services Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1407479132
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD FELLOWS HOSPICE SERVICES INC
Practice address
1555 N Verdugo Rd Ste 202
Glendale, CA 91208-3208
Phone
(818) 484-8722
Fax
(818) 484-8723
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Ms. Anna Abelyan
Title
Ceo
Phone
(818) 484-8722

Specialties & licenses 1

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

Addresses

Primary practice location

1555 N Verdugo Rd Ste 202
Glendale, CA 91208-3208

Mailing address

1555 N Verdugo Rd Ste 202
Glendale, CA 91208-3208
Phone (818) 484-8722

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Fellows Hospice Services, Inc.CCN B31542
Certified
Sep 24, 2021
Medicare certification status
Terminated Voluntary: merger or closure, Apr 15, 2026From 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).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2220752Good Fellows Hospice Services Inc1555 N Verdugo Rd, Glendale, CA 91208Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1555 N Verdugo Rd
Ste 202
Glendale, CA 91208
Phone (818) 243-3097

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1407479132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N VERDUGO RD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083208",
            "telephone_number": "818-484-8722",
            "fax_number": "818-484-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N VERDUGO RD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912083208",
            "telephone_number": "818-484-8722",
            "fax_number": "818-484-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FELLOWS HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "ABELYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-484-8722",
        "authorized_official_name_prefix": "Ms."
    },
    "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 28, 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.

Verify at the official NPI Registry.