Active NPI
Next Level Hospice Care
- Community Based Hospice Care Agency
- Anaheim, CA
National Provider Identifier
1598342016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- NEXT LEVEL HOSPICE CARE
- Practice address
- 1775 E Lincoln Ave Ste 105
Anaheim, CA 92805-4300 - Phone
- (818) 275-0710
- NPI assigned
- Mar 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Carrigan
- Title
- Ceo
- Phone
- (818) 275-0710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1775 E Lincoln Ave Ste 105
Anaheim, CA 92805-4300
Mailing address
1775 E Lincoln Ave Ste 105
Anaheim, CA 92805-4300
Phone (818) 275-0710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220405001687 | CA | Part A Provider - Hospice | 1557757200 | Practice locations: La Habra, CA |
Hospice certification: CCN B51604
- Legal name
- NEXT LEVEL HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 16, 2023
- Last certification
- Feb 9, 2023
- Organization structure
- Corporation
- Incorporated
- Mar 18, 2021 in CA
- Enrollment address
- 121 W Whittier Blvd
Ste 221
La Habra, CA 90631-3893
Care Compare: Hospice
Medicare Care Compare- Listed as
- Next Level Hospice Care
- Certified
- Feb 16, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1775 E Lincoln Ave
Ste 105
Anaheim, CA 92805
Phone (818) 275-0710
121 W Whittier Blvd
Ste 221
La Habra, CA 90631
Phone (818) 275-0710
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ivet Grigoryan | 5% Or Greater Direct Ownership Interest | Mar 18, 2021 | 100% |
| Corporate Officer | Mar 18, 2021 | 100% | |
| Corporate Director | Mar 18, 2021 | 100% | |
| W-2 Managing Employee | Mar 18, 2021 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1598342016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 E LINCOLN AVE STE 105",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928054300",
"telephone_number": "818-275-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 E LINCOLN AVE STE 105",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928054300",
"telephone_number": "818-275-0710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT LEVEL HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-29",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "CARRIGAN",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-275-0710"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.