Organization Active NPI

Hospice of St. George, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1508165069
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF ST. GEORGE, INC.
Practice address
415 E Harvard St
Ste 101
Glendale, CA 91205-1057
Phone
(818) 553-8000
Fax
(818) 553-8118
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Angela Khanjyan
Title
Ceo
Phone
(818) 553-8000

Specialties & licenses 1

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

Addresses

Primary practice location

415 E Harvard St
Ste 101
Glendale, CA 91205-1057

Mailing address

415 E Harvard St
Ste 101
Glendale, CA 91205-1057
Phone (818) 553-8000

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of St George, IncCCN 751608
Ownership
For-Profit
Certified
Jun 12, 2014
Medicare certification status
ActiveFrom 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).

National Provider Directory

National Provider Directory

Locations

415 E Harvard St
Ste 101
Glendale, CA 91205
Phone (818) 244-8175

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1508165069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST",
            "address_2": "STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051057",
            "telephone_number": "818-553-8000",
            "fax_number": "818-553-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST",
            "address_2": "STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051057",
            "telephone_number": "818-553-8000",
            "fax_number": "818-553-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF ST. GEORGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "KHANJYAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-553-8000"
    },
    "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 Mar 23, 2011; 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.