Organization Active NPI

Montrose Hospice, Inc

  • Community Based Hospice Care Agency
  • Lake View Terrace, CA
National Provider Identifier
1669086658
Registry record updated Mar 3, 2026
On this page

Key facts

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

Updated by the provider on Mar 3, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B21614 · All quality measures
Ownership
For-Profit
Certified
Jun 16, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2302220Montrose Hospice Inc2600 Foothill Blvd # 209, La Crescenta, CA 91214Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Shushan Papian Individual W-2 Managing EmployeeAd; Feb 1, 2022
Ani Melkumian Individual 5% Or Greater Direct Ownership InterestCeo Jul 27, 2020 100%
Corporate OfficerCeo Jul 27, 2020
Corporate DirectorCeo Jul 27, 2020
W-2 Managing EmployeeCeo Jul 27, 2020
Pooya Mobasseri Individual W-2 Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.