United Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

UNITED HOSPICE SERVICES, INC.

Practice address

225 E Broadway Ste B104
Glendale, CA 91205-1008

Phone

(818) 852-5644

Fax

(818) 638-1474

NPI assigned

Jun 23, 2014

Last updated

Jan 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lusine Kazaryan

Title

Ceo

Phone

(818) 852-5644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700291226. Details of each certification follow.

• CCN A01563 Hospice · Active · Details

Hospice certification: CCN A01563

Legal name

UNITED HOSPICE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 10, 2018

Last certification

Nov 10, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 23, 2012 in CA

Enrollment address

225 E Broadway Ste B104
Glendale, CA 91205

Listed as

United Hospice Services IncCCN A01563 · All quality measures

Ownership

For-Profit

Certified

Nov 10, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1700291226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-852-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-852-5644",
            "fax_number": "818-638-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KAZARYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-852-5644"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jan 25, 2016; 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.