Noble Life Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NOBLE LIFE HOSPICE INC

Practice address

217 E Alameda Ave # Suie208
Burbank, CA 91502-1500

Phone

(747) 202-1616

Fax

(747) 201-7372

NPI assigned

Dec 14, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liana Hovakimyan

Title

Ceo

Phone

(747) 202-1616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51577

Legal name

NOBLE LIFE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 21, 2022

Last certification

Nov 8, 2022

Organization structure

CorporationProprietary

Enrollment address

217 E Alameda Ave
Ste 208
Burbank, CA 91502-2693

Listed as

Noble Life Hospice IncCCN B51577

Certified

Nov 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Cypress, CA
  • NPI 1770783896

  W-2 Managing Employee

  CMS ownership
• Raafat M Hana, M.D

  • Internal Medicine Physician
  • Porterville, CA
  • NPI 1568539997

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hani Adiep Benyamin-Ajaipi

  • Internal Medicine Physician
  • Cypress, CA
  • NPI 1770783896

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1679169650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411763",
            "telephone_number": "747-202-1616",
            "fax_number": "747-201-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E ALAMEDA AVE # SUIE208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021500",
            "telephone_number": "747-202-1616",
            "fax_number": "747-201-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE LIFE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HOVAKIMYAN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-202-1616"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Kiyotoshi Nishimura, O.D.
• Heidi Niz
• No Limits 2 Recovery, Inc.
• No Pain Hospice Care, Inc.
• Noble Home Health, Inc
• Noble Pharmacy Inc
• Maria Erna Nogra, PHYSICAL THERAPY
• Diana Noland, RD MPH CCN
• Joel Noland, N.D., LAC
• Benjamin Noor, MD

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.

Verify at the official NPI Registry.