St. Teresa Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST. TERESA HOSPICE AND PALLIATIVE CARE, INC.

Practice address

2829 W Burbank Blvd Ste 202
Burbank, CA 91505-2300

Phone

(818) 646-1226

Fax

(818) 688-3849

NPI assigned

Dec 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Khachik Davtyan

Title

President/Ceo

Phone

(818) 646-1226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospice certification: CCN B21564

Legal name

St. Teresa Hospice And Palliative Care, Inc.

Certification status

Terminated , Apr 15, 2024

Provider type (POS)

Hospice

Participating since

Apr 23, 2021

Last certification

Apr 23, 2021

Ownership / control type

Proprietary - Corporation

Facility address

2829 W Burbank Blvd Suite 202
Burbank, CA 91505

Locations

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1497261655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 W BURBANK BLVD STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052300",
            "telephone_number": "818-646-1226",
            "fax_number": "818-688-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 W BURBANK BLVD STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052300",
            "telephone_number": "818-646-1226",
            "fax_number": "818-688-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6314 Van Nuys Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914012625",
            "country_code": "US",
            "telephone_number": "818-646-1226",
            "fax_number": "818-646-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. TERESA HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "KHACHIK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-646-1226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Jan 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.