Active NPI
Tender Loving Hospice Care, Inc.
- Community Based Hospice Care Agency
- Montebello, CA
National Provider Identifier
1669987913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TENDER LOVING HOSPICE CARE, INC.
- Practice address
- 3528 W Beverly Blvd
Suite D
Montebello, CA 90640 - Phone
- (323) 721-1164
- Fax
- (323) 721-1165
- NPI assigned
- Dec 8, 2017
- 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
- Hripsime Mendelyan
- Title
- Secretary of the Board
- Phone
- (323) 721-1164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3528 W Beverly Blvd
Suite D
Montebello, CA 90640
Mailing address
3528 W Beverly Blvd
Suite D
Montebello, CA 90640
Phone (323) 721-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180109002769 | CA | Part A Provider - Hospice | 8426317991 | Practice locations: Pasadena, CA |
Hospice certification: CCN B21510
- Legal name
- TENDER LOVING HOSPICE CARE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 16, 2020
- Last certification
- Dec 16, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 17, 2017 in CA
- Enrollment address
- 2500 E Foothill Blvd
Ste 204
Pasadena, CA 91107-3455
Care Compare: Hospice
Medicare Care Compare- Listed as
- Tender Loving Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Dec 16, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
3538 W Beverly Blvd
Unit D
Montebello, CA 90640
Phone (323) 721-1164
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Hripsime Mendelyan | Corporate Officer | Nov 17, 2017 | |
| Corporate Director | Nov 17, 2017 | ||
| Vachagan Sogomonyan | 5% Or Greater Direct Ownership Interest | May 11, 2021 | 100% |
| Corporate Officer | May 11, 2021 | 100% | |
| Corporate Director | May 11, 2021 | 100% | |
| W-2 Managing Employee | May 11, 2021 | 100% | |
| Operational/Managerial Control | May 11, 2021 | 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": "1512691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512691200000",
"number": "1669987913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3528 W BEVERLY BLVD",
"address_2": "SUITE D",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-721-1164",
"fax_number": "323-721-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 W BEVERLY BLVD",
"address_2": "SUITE D",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-721-1164",
"fax_number": "323-721-1165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER LOVING HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A",
"authorized_official_last_name": "MENDELYAN",
"authorized_official_first_name": "HRIPSIME",
"authorized_official_title_or_position": "SECRETARY OF THE BOARD",
"authorized_official_telephone_number": "323-721-1164"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.