Five Star Home Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

NON YET Issued in CA

Legal business name

FIVE STAR HOME HOSPICE, INC.

Practice address

1028 N Lake Ave Ste 106
Pasadena, CA 91104-4570

Phone

(626) 791-1764

Fax

(626) 791-5362

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Ebruy K Arabyan

Title

President

Phone

(626) 791-1764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551631

Legal name

FIVE STAR HOME HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 9, 2012

Last certification

May 17, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 17, 2005 in CA

Enrollment address

1028 N Lake Ave
Ste 106
Pasadena, CA 91104-4570

Listed as

Five Star Home HospiceCCN 551631

Ownership

For-Profit

Certified

Feb 9, 2012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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 1

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

• Gregor Paronian, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1366627945

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 4

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

• Alipasha Adrangui, M.D.

  • Hospitalist Physician
  • Pasadena, CA
  • NPI 1780911263

  Hospice

  Care Compare affiliation
• Stephen Douglas Henry, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1811925183

  Hospice

  Care Compare affiliation
• Krisztina Ilona Larson, M.D.

  • Hematology & Oncology Physician
  • Burbank, CA
  • NPI 1558703363

  Hospice

  Care Compare affiliation
• Gregor Paronian, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1366627945

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1730206038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N LAKE AVE STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "telephone_number": "626-791-1764",
            "fax_number": "626-791-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N LAKE AVE STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044570",
            "telephone_number": "626-791-1764",
            "fax_number": "626-791-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HOME HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ARABYAN",
        "authorized_official_first_name": "EBRUY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-791-1764"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "NON YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyla Fisk, MA
• Nicole Fiss
• Rosaleen Fitzpatrick, M.F.T.
• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
• Mikayla Rae Fjeld
• Melia Christine Flagg, PT, DPT
• Treacy Flambert
• Jonathan Flannes, LMFT #136101
• Ryssa Berry Fleischer

• Community Based Hospice Care Agency in Pasadena, CA
• Providers in Pasadena, 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 Apr 30, 2013; 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.