Organization Active NPI

Next Level Hospice Care

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1598342016
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 7, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN B51604
Certified
Feb 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ivet Grigoryan Individual 5% Or Greater Direct Ownership InterestCeo Mar 18, 2021 100%
Corporate OfficerCeo Mar 18, 2021 100%
Corporate DirectorCeo Mar 18, 2021 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.