Venerable Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VENERABLE HOSPICE CARE

Practice address

512 E Wilson Ave Ste 202
Glendale, CA 91206-4351

Phone

(818) 601-2488

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Carolyn Lee

Title

Owner/President

Phone

(818) 601-2488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51754

Legal name

VENERABLE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 11, 2023

Last certification

May 11, 2023

Organization structure

CorporationProprietary

Enrollment address

512 E Wilson Ave
Ste 202
Glendale, CA 91206-4351

Listed as

Venerable Hospice CareCCN B51754 · All quality measures

Certified

Jul 11, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• M Mash-Hoordin Rajudin, MD

  • Nephrology Physician
  • Anaheim, CA
  • NPI 1790892230

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• M Mash-Hoordin Rajudin, MD

  • Nephrology Physician
  • Anaheim, CA
  • NPI 1790892230

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1639776479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064351",
            "telephone_number": "818-601-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENERABLE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-601-2488"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Veliz
• Virginia C Veloso, M.D.
• Letta Bjork Venegas, LCSW
• Michelle Venegas
• Venera Home Health Inc
• Caroline Hampton Venetis, OTR/L
• Venice Home Health Care Inc
• Ventegra, LLC
• John Paul Ventenilla
• Erick Ventura

• 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 Oct 5, 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.