Starline Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002796 Issued in CA

Legal business name

STARLINE HOSPICE, INC.

Practice address

3053 W Olympic Blvd Ste 207a
Los Angeles, CA 90006-2558

Phone

(213) 674-7555

Fax

(213) 674-7995

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Xuanru Jin

Title

Ceo

Phone

(213) 674-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751685

Legal name

STARLINE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 4, 2015

Last certification

Jun 29, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2017 in CA

Enrollment address

3053 W Olympic Blvd
Ste 207a
Los Angeles, CA 90006-2558

Listed as

Starline Hospice, IncCCN 751685 · All quality measures

Ownership

For-Profit

Certified

May 4, 2015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Robert Tae Ha, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1750302188

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalid A Kamal, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1396790838
  NPD (past)

Affiliated clinicians 5

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

• Robert Tae Ha, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1750302188

  Hospice

  Care Compare affiliation
• Dong W Mun, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1053346940

  Hospice

  Care Compare affiliation
• Joon Suh, D.O.

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1518498674

  Hospice

  Care Compare affiliation
• Eun Joo Yoon, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1821091661

  Hospice

  Care Compare affiliation
• Su Yong Pak, M.D.

  • Internal Medicine Physician
  • Lynnwood, WA
  • NPI 1437169372

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1588009088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 207A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-674-7555",
            "fax_number": "213-674-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 207A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-674-7555",
            "fax_number": "213-674-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLINE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "XUANRU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-674-7555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "751685",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashari Starks
• Leroyce Starks
• Victoria Blair Starks, MD
• Suzan Anne Starler, D.C.
• Starlight Sleep Center Inc
• Starling Oncology Ca, a Professional Corporation
• Michelle Violet Starling, RN, PHN
• Adriann Celia Starnes
• Pamela Starnes, MD
• Vaughn A. Starnes, MD

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 4, 2024; 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.