Palermo Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PALERMO HOSPICE INC

Practice address

229 N Central Ave Ste 201
Glendale, CA 91203-3554

Phone

(818) 751-0751

NPI assigned

Jun 20, 2020

Organization subpart

No

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

Authorized official

Name

Inga Abgaryan

Title

Ceo

Phone

(818) 751-0751

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21723

Legal name

PALERMO HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 9, 2021

Last certification

Aug 9, 2021

Ownership / control type

Government - County

Organization structure

CorporationProprietary

Enrollment address

229 N Central Ave
Ste 201
Glendale, CA 91203-3554

Listed as

Palermo Hospice, IncCCN B21723

Ownership

Government

Certified

Aug 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Cranford Lavern Scott, M.D.

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1265437925

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cranford Lavern Scott, M.D.

  • Internal Medicine Physician
  • Inglewood, CA
  • NPI 1265437925

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1568088086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033554",
            "telephone_number": "818-751-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N CENTRAL AVE STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033554",
            "telephone_number": "818-751-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALERMO HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "ABGARYAN",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-751-0751"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Palacios S Nchez
• Jorge Luis Palacios
• Miguel Palacios Jr.
• Trevor Palacios
• Dianne K Palasio, NP
• Odalis Palestino Mendez
• Constandina Palivos, PH.D.
• Dennis Paliwoda
• Damon Pallais
• Tania Pallares

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jun 20, 2020; 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.
• 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.