Greatness Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREATNESS HOSPICE, INC.

Practice address

1241 S Glendale Ave Ste 204E
Glendale, CA 91205-3385

Phone

(747) 300-3431

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tigran Abeghyan

Title

Ceo

Phone

(747) 300-3431

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598304644. Details of each certification follow.

• CCN B21773 Hospice · Active · Details

Hospice certification: CCN B21773

Legal name

GREATNESS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 17, 2021

Last certification

Oct 17, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2019 in CA

Enrollment address

43180 Business Park Dr
Ste 201
Temecula, CA 92590-3608

Listed as

Greatness Hospice, IncCCN B21773 · All quality measures

Ownership

For-Profit

Certified

Oct 17, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 7

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 2

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

• Rasam Hosseinian, M.D.

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1326092834

  Contracted Managing Employee

  CMS ownership
• Helen Rostamloo, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1285759514

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Rasam Hosseinian, M.D.

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1326092834

  Hospice

  Care Compare affiliation
• Nicholas John Jauregui, M.D

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sierra Madre, CA
  • NPI 1205869807
  Care Compare affiliation
• Edward Meltser, DO

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1124536289

  Hospice

  Care Compare affiliation
• Wyzscx Merfil Patacxil, M.D.

  • Surgery Physician
  • El Segundo, CA
  • NPI 1932543675

  Hospice

  Care Compare affiliation
• Christopher Michael Phillips

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Murrieta, CA
  • NPI 1629698733
  Care Compare affiliation

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1598304644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 204E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 204E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385",
            "telephone_number": "747-300-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATNESS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ABEGHYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-300-3431"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 6, 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.