Organization Active NPI

Tender Loving Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Montebello, CA
National Provider Identifier
1669987913
Registry record updated Dec 8, 2017
On this page

Key facts

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

Updated by the provider on Dec 8, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B21510
Ownership
For-Profit
Certified
Dec 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hripsime Mendelyan Individual Corporate OfficerSecretary/Board Member Nov 17, 2017
Corporate DirectorSecretary/Board Member Nov 17, 2017
Vachagan Sogomonyan Individual 5% Or Greater Direct Ownership Interest May 11, 2021 100%
Corporate OfficerCeo/Cfo/Secrty/Brdmbr/Sole Owner May 11, 2021 100%
Corporate DirectorCeo/Cfo/Secrty/Brdmbr/Sole Owner May 11, 2021 100%
W-2 Managing EmployeeOperational/Managerial Control May 11, 2021 100%
Operational/Managerial ControlCeo/Cfo/Secrty/Brdmbr/Sole Owner 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

Verify at the official NPI Registry.