Active NPI
Montrose Hospice, Inc
- Community Based Hospice Care Agency
- Lake View Terrace, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MONTROSE HOSPICE, INC
- Practice address
- 10272 Foothill Blvd
Lake View Terrace, CA 91342-7038 - Phone
- (818) 330-9556
- Fax
- (888) 414-0477
- NPI assigned
- Sep 7, 2020
- 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
- Ani Melkumian
- Title
- Ceo
- Phone
- (818) 330-9556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10272 Foothill Blvd
Lake View Terrace, CA 91342-7038
Mailing address
10272 Foothill Blvd
Lake View Terrace, CA 91342-7038
Phone (818) 330-9556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210412000037 | CA | Part A Provider - Hospice | 8921416090 | Practice locations: La Crescenta, CA |
Hospice certification: CCN B21614
- Legal name
- MONTROSE HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 16, 2021
- Last certification
- Jun 16, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 27, 2020 in CA
- Enrollment address
- 2600 Foothill Blvd
Ste 209
La Crescenta, CA 91214-4579
Care Compare: Hospice
Medicare Care Compare- Listed as
- Montrose Hospice, Inc
- Ownership
- For-Profit
- Certified
- Jun 16, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2302220 | Montrose Hospice Inc | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
10272 Foothill Blvd
Lake View Terrace, CA 91342
Phone (818) 330-9556
2418 Honolulu Ave
Ste H
Montrose, CA 91020
Phone (818) 330-9556
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Shushan Papian | W-2 Managing Employee | Feb 1, 2022 | |
| Ani Melkumian | 5% Or Greater Direct Ownership Interest | Jul 27, 2020 | 100% |
| Corporate Officer | Jul 27, 2020 | ||
| Corporate Director | Jul 27, 2020 | ||
| W-2 Managing Employee | Jul 27, 2020 | ||
| Pooya Mobasseri | W-2 Managing Employee | Mar 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Westlake Village, CA
- NPI 1356670657
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1669086658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10272 FOOTHILL BLVD",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913427038",
"telephone_number": "818-330-9556",
"fax_number": "888-414-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10272 FOOTHILL BLVD",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913427038",
"telephone_number": "818-330-9556",
"fax_number": "888-414-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTROSE HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-07",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "MELKUMIAN",
"authorized_official_first_name": "ANI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-330-9556"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake View Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.