Organization Active NPI

Full Hearts Hospice

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1497329346
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FULL HEARTS HOSPICE
Practice address
401 N Brand Blvd Ste L102
Glendale, CA 91203-4427
Phone
(818) 415-0617
NPI assigned
May 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Authorized official

Name
Alisa Bedryan
Title
Ceo
Phone
(818) 415-0617

Specialties & licenses 1

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

Addresses

Primary practice location

401 N Brand Blvd Ste L102
Glendale, CA 91203-4427

Mailing address

401 N Brand Blvd Ste L102
Glendale, CA 91203-4427
Phone (818) 415-0617

National Provider Directory

National Provider Directory

Locations

401 N Brand Blvd
Ste L102
Glendale, CA 91203
Phone (818) 415-0617

NPI Registry JSON

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621036800000",
    "number": "1497329346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE L102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-415-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD STE L102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-415-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL HEARTS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A",
        "authorized_official_last_name": "BEDRYAN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-415-0617"
    },
    "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 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.