Active NPI
A to Z Hospice Inc
- Community Based Hospice Care Agency
- Glendale, CA
National Provider Identifier
1649949371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 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
- Natalie Mitoyan
- Title
- Ceo
- Phone
- (818) 491-9005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Certified
- May 26, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Natalie Mitoyan | 5% Or Greater Direct Ownership Interest | Dec 10, 2020 | 100% |
| Corporate Officer | Dec 10, 2020 | 100% | |
| Corporate Director | Dec 10, 2020 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.