Organization Active NPI

Ang Hospice, Inc

Doing business as Altitude Hospice

  • Community Based Hospice Care Agency
  • San Francisco, CA
National Provider Identifier
1780292219
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
95 3Rd St
Ste 254
San Francisco, CA 94103-3103

Care Compare: Hospice

Medicare Care Compare
Listed as
Ang Hospice, Inc.CCN B21716 · All quality measures
Ownership
For-Profit
Certified
Dec 29, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jose L Escobar Individual W-2 Managing EmployeeAd; Jan 2, 2025
Armine Petrosian Individual 5% Or Greater Direct Ownership Interest Sep 24, 2024 51%
Corporate OfficerPresident/Ceo/Secretary/Cfo/Owner Jul 16, 2020 100%
Corporate DirectorOwner/Ceo/President Jul 16, 2020 100%
W-2 Managing EmployeeOwner/Ceo/President Jul 16, 2020 100%
Paul Burke Individual Corporate OfficerCeo,Cfo,Secretary,Director Oct 31, 2024
Corporate DirectorCeo,Cfo,Secretary,Director Oct 31, 2024
W-2 Managing EmployeeCeo,Cfo,Secretary,Director Oct 31, 2024
Ruben Sukiasyan Individual W-2 Managing EmployeeAd; Mar 1, 2024
Norcal Bountiful Hospice, LLC Organization, Santa Ana, CA Created for acquisition, Management services company, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 24, 2024 49%
Operational/Managerial Control Sep 24, 2024 49%
Atul N Sharma Individual Contracted Managing EmployeeMD; Jan 2, 2025
Armen Derian Individual Contracted Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.