Organization Active NPI

Morningside Hospice Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1477151371
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MORNINGSIDE HOSPICE INC.
Practice address
4119 W Burbank Blvd Ste 150
Burbank, CA 91505-2122
Phone
(818) 650-1331
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Aram Safarian
Title
Owner
Phone
(818) 650-1331

Specialties & licenses 1

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

Addresses

Primary practice location

4119 W Burbank Blvd Ste 150
Burbank, CA 91505-2122

Mailing address

4119 W Burbank Blvd Ste 150
Burbank, CA 91505-2122
Phone (818) 650-1331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201228001072 CA Part A Provider - Hospice 7416360011 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477151371. Details of each certification follow.

Hospice certification: CCN B41622

Legal name
MORNINGSIDE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 2022
Last certification
May 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
4119 W Burbank Blvd
Ste 150
Burbank, CA 91505-2122

Care Compare: Hospice

Medicare Care Compare
Listed as
Morningside Hospice IncCCN B41622 · All quality measures
Certified
May 17, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4119 W Burbank Blvd
Ste 150
Burbank, CA 91505
Phone (818) 650-1331

Ownership & related parties

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.

NameRoleSinceShare
Aram Safarian Individual 5% Or Greater Direct Ownership Interest Aug 20, 2020 100%
Corporate OfficerCeo/President/Cfo/Secretary/Boar Aug 20, 2020 100%
Corporate DirectorCeo/President/Cfo/Secretary/Boar Aug 20, 2020 100%
W-2 Managing EmployeeAd;Ceo/President/Cfo/Secretary Aug 20, 2020 100%
Cary D Nelson Individual W-2 Managing EmployeeMD; Aug 20, 2020

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1477151371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 150",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-650-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 150",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-650-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "SAFARIAN",
        "authorized_official_first_name": "ARAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-650-1331"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.