Organization Active NPI

Golden State Hospice Care

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1710575998
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN STATE HOSPICE CARE
Practice address
4405 W Riverside Dr Ste 203
Burbank, CA 91505-4050
Phone
(818) 940-1258
Fax
(818) 847-7966
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Emin Khalafian
Title
Ceo
Phone
(818) 940-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4405 W Riverside Dr Ste 203
Burbank, CA 91505-4050

Mailing address

4405 W Riverside Dr Ste 203
Burbank, CA 91505-4050
Phone (818) 940-1258

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL businessemailaddress Direct

Care Compare: Hospice

Medicare Care Compare
Listed as
Golden State Hospice CareCCN B51513
Certified
Sep 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
05D2219757Golden State Hospice Care4405 W Riverside Dr Ste 203a, Burbank, CA 91505Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

4405 W Riverside Dr
Ste 203A
Burbank, CA 91505

4405 W Riverside Dr
Ste 203
Burbank, CA 91505
Phone (818) 238-9895

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1710575998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-940-1258",
            "fax_number": "818-847-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR STE 203",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054050",
            "telephone_number": "818-940-1258",
            "fax_number": "818-847-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KHALAFIAN",
        "authorized_official_first_name": "EMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-940-1258"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "businessemailaddress",
            "affiliation": "N",
            "endpointDescription": "goldenstatehospicecare@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "4405 W Riverside Dr Ste 203",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915054050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.