Organization Active NPI

Golden Seasons Hospice, Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1770048738
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN SEASONS HOSPICE, INC.
Practice address
3089 N Lima St Ste a
Burbank, CA 91504-2013
Phone
(818) 538-5863
Fax
(818) 538-5882
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Leticia Aldaba
Title
Ceo
Phone
(818) 538-5863

Specialties & licenses 1

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

Addresses

Primary practice location

3089 N Lima St Ste a
Burbank, CA 91504-2013

Mailing address

3089 N Lima St Ste a
Burbank, CA 91504-2013
Phone (818) 538-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319001226 CA Part A Provider - Hospice 0749618080 Practice locations: Burbank, CA

Hospice certification: CCN A11626

Legal name
GOLDEN SEASONS HOSPICE INC
Doing business as
LIEM HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 22, 2020
Last certification
Sep 22, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
2550 N Hollywood Way
Ste 502
Burbank, CA 91505-5023

Care Compare: Hospice

Medicare Care Compare
Listed as
Liem HospiceCCN A11626
Ownership
For-Profit
Certified
Sep 22, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3089 N Lima St
#A
Burbank, CA 91504
Phone (818) 538-5863

2550 N Hollywood Way
Ste 502
Burbank, CA 91505
Phone (818) 538-5863

3089 N Lima St
Ste A
Burbank, CA 91504
Phone (818) 538-5863

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Kayla Tafoya-Sablan Individual W-2 Managing EmployeeDPCS Designee Oct 23, 2025
Pedram Shirzad Individual Contracted Managing EmployeeMD; Feb 7, 2022
Vital Health Care Services Inc Organization, San Fernando, CA Corporation 5% Or Greater Direct Ownership Interest Nov 30, 2021 100%
Eric I Feit Individual Contracted Managing EmployeeMedical Director Designee May 1, 2024
Christopher V Tashjian Individual 5% Or Greater Indirect Ownership Interest Jan 7, 2022 10%
Corporate OfficerBoard Member Jan 7, 2022 10%
Corporate DirectorBoard Member Jan 7, 2022 10%
Raffi Barsam Individual 5% Or Greater Indirect Ownership Interest Nov 30, 2021 18%
Corporate OfficerTreasurer/Cfo, Board Member Nov 30, 2021 18%
Corporate DirectorTreasurer/Cfo, Board Member Nov 30, 2021 18%
Operational/Managerial ControlCfo, Board Member Nov 30, 2021 18%
Leticia Aldaba Individual 5% Or Greater Indirect Ownership Interest Nov 30, 2021 72%
Corporate OfficerCeo/Cfo/Secretary/ Board Member Nov 30, 2021 72%
Corporate DirectorCeo/Cfo/Secretary/ Board Membe Nov 30, 2021 72%
W-2 Managing EmployeeAd;Ad;Admin/Ceo/Cfo Nov 30, 2021 100%
Operational/Managerial ControlCeo/Cfo/Sec/Board Mem/ Chairman Nov 30, 2021 72%
Adria Smith Loertscher Individual W-2 Managing EmployeeAdministrator Designee/DPCS Jul 6, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1770048738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 N LIMA ST STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042013",
            "telephone_number": "818-538-5863",
            "fax_number": "818-538-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 N LIMA ST STE A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042013",
            "telephone_number": "818-538-5863",
            "fax_number": "818-538-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SEASONS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-04-11",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "ALDABA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-538-5863"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.