Organization Active NPI

A to Z Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1649949371
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
A TO Z HOSPICE INC
Practice address
212 N Glendale Ave Ste 100
Glendale, CA 91206-4735
Phone
(818) 491-9005
Fax
(818) 491-9005
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Natalie Mitoyan
Title
Ceo
Phone
(818) 491-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

212 N Glendale Ave Ste 100
Glendale, CA 91206-4735

Mailing address

212 N Glendale Ave Ste 100
Glendale, CA 91206-4735
Phone (818) 491-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106000367 CA Part A Provider - Hospice 4486045184 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649949371. Details of each certification follow.

Hospice certification: CCN B41687

Legal name
A TO Z HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 26, 2022
Last certification
May 26, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 10, 2020 in CA
Enrollment address
212 N Glendale Ave
Ste 100
Glendale, CA 91206-4735

Care Compare: Hospice

Medicare Care Compare
Listed as
A to Z Hospice, Inc.CCN B41687 · All quality measures
Certified
May 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

212 N Glendale Ave
Ste 100
Glendale, CA 91206
Phone (704) 246-9194

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
Natalie Mitoyan Individual 5% Or Greater Direct Ownership InterestOwner Dec 10, 2020 100%
Corporate OfficerCeo Dec 10, 2020 100%
Corporate DirectorCeo Dec 10, 2020 100%
W-2 Managing EmployeeCeo Dec 10, 2020 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": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1649949371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N GLENDALE AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064735",
            "telephone_number": "818-491-9005",
            "fax_number": "818-491-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N GLENDALE AVE STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064735",
            "telephone_number": "818-491-9005",
            "fax_number": "818-491-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "MITOYAN",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-491-9005"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.