Active NPI
Ang Hospice, Inc
Doing business as Altitude Hospice
- Community Based Hospice Care Agency
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ANG HOSPICE, INC
- Doing business as
- Altitude Hospice
- Practice address
- 95 3Rd St Ste 254
San Francisco, CA 94103-3103 - Phone
- (415) 263-9823
- Fax
- (415) 354-1768
- NPI assigned
- Jul 21, 2020
- Last updated
- Apr 24, 2025
- 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
- Paul Burke
- Title
- Ceo
- Phone
- (415) 263-9823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
95 3Rd St Ste 254
San Francisco, CA 94103-3103
Mailing address
95 3Rd St Ste 254
San Francisco, CA 94103-3103
Phone (415) 263-9823
Other names 1
- Altitude Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220719000667 | CA | Part A Provider - Hospice | 1052730116 | Practice locations: San Francisco, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780292219. Details of each certification follow.
Hospice certification: CCN B21716
- Legal name
- ANG HOSPICE, INC
- Doing business as
- ALTITUDE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 29, 2022
- Last certification
- Oct 8, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 95 3Rd St
Ste 254
San Francisco, CA 94103-3103
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ang Hospice, Inc.
- Ownership
- For-Profit
- Certified
- Dec 29, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
795 Folsom St
Fl 1
San Francisco, CA 94107
Phone (415) 813-2204
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jose L Escobar | W-2 Managing Employee | Jan 2, 2025 | |
| Armine Petrosian | 5% Or Greater Direct Ownership Interest | Sep 24, 2024 | 51% |
| Corporate Officer | Jul 16, 2020 | 100% | |
| Corporate Director | Jul 16, 2020 | 100% | |
| W-2 Managing Employee | Jul 16, 2020 | 100% | |
| Paul Burke | Corporate Officer | Oct 31, 2024 | |
| Corporate Director | Oct 31, 2024 | ||
| W-2 Managing Employee | Oct 31, 2024 | ||
| Ruben Sukiasyan | W-2 Managing Employee | Mar 1, 2024 | |
| Norcal Bountiful Hospice, LLC | 5% Or Greater Direct Ownership Interest | Sep 24, 2024 | 49% |
| Operational/Managerial Control | Sep 24, 2024 | 49% | |
| Atul N Sharma | Contracted Managing Employee | Jan 2, 2025 | |
| Armen Derian | Contracted Managing Employee | Mar 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
- NPI 1275978876
Contracted Managing Employee
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tempe, AZ
- NPI 1417982158
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1780292219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 3RD ST STE 254",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941033103",
"telephone_number": "415-263-9823",
"fax_number": "415-354-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 3RD ST STE 254",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941033103",
"telephone_number": "415-263-9823",
"fax_number": "415-354-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANG HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-21",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-263-9823"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altitude Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.