Active NPI
St. Rita Hospice, Inc.
- Community Based Hospice Care Agency
- Glendale, CA
National Provider Identifier
1750845590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST. RITA HOSPICE, INC.
- Practice address
- 415 E Harvard St Ste 104a
Glendale, CA 91205-1045 - Phone
- (805) 306-0440
- Fax
- (818) 241-7900
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Khanjyan
- Title
- Ceo
- Phone
- (818) 696-2300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
415 E Harvard St Ste 104a
Glendale, CA 91205-1045
Mailing address
415 E Harvard St Ste 104a
Glendale, CA 91205-1045
Phone (805) 306-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CA |
Care Compare: Hospice
Medicare Care Compare- Listed as
- St Rita Hospice, Inc
- Certified
- Feb 9, 2022
- Medicare certification status
- Active
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).
National Provider Directory
National Provider DirectoryLocations
415 E Harvard St
Ste 104A
Glendale, CA 91205
Phone (805) 306-0440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643068800000",
"number": "1750845590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E HARVARD ST STE 104A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051045",
"telephone_number": "805-306-0440",
"fax_number": "818-241-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E HARVARD ST STE 104A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051045",
"telephone_number": "805-306-0440",
"fax_number": "818-241-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. RITA HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A",
"authorized_official_last_name": "KHANJYAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-696-2300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.