Mid Valley Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MID VALLEY HOSPICE CARE INC.

Practice address

4444 W Riverside Dr Ste 206
Burbank, CA 91505-4048

Phone

(818) 967-9255

NPI assigned

Aug 28, 2020

Last updated

Apr 27, 2021By 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

Oganes Samsonyan

Title

Ceo

Phone

(818) 967-9255

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 1760095897. Details of each certification follow.

• CCN B51725 Hospice · Active · Details

Hospice certification: CCN B51725

Legal name

MID VALLEY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 28, 2023

Last certification

May 12, 2023

Organization structure

CorporationProprietary

Incorporated

Jul 9, 2020 in CA

Enrollment address

4444 W Riverside Dr
Ste 206
Burbank, CA 91505-4048

Listed as

Mid Valley Hospice Care, Inc.CCN B51725 · All quality measures

Certified

Jun 28, 2023

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• A Joseph Glaser, PH.D.

  • Psychologist
  • Burbank, CA
  • NPI 1679683247
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1760095897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "818-967-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054048",
            "telephone_number": "818-967-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SAMSONYAN",
        "authorized_official_first_name": "OGANES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-967-9255"
    },
    "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 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 Apr 27, 2021; 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.