Bright Palliative and Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIGHT PALLIATIVE AND HOSPICE, INC.

Practice address

1314 W Glenoaks Blvd
Suite 202
Glendale, CA 91201-1978

Phone

(747) 344-3433

Fax

(818) 337-7558

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Harutyun Gevorgyan

Title

Ceo/Administrator

Phone

(747) 344-3433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41675

Legal name

BRIGHT PALLIATIVE AND HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 19, 2022

Last certification

May 19, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 19, 2020 in CA

Enrollment address

1314 W Glenoaks Blvd
Ste 202
Glendale, CA 91201-3145

Listed as

Bright Palliative and Hospice, Inc.CCN B41675

Certified

May 19, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 2

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

• Wyzscx Merfil Patacxil, M.D.

  • Surgery Physician
  • El Segundo, CA
  • NPI 1932543675

  Contracted Managing Employee

  CMS ownership
• Helen Rostamloo, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1285759514

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1831704261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "SUITE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "747-344-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "SUITE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011978",
            "telephone_number": "747-344-3433",
            "fax_number": "818-337-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PALLIATIVE AND HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "747-344-3433"
    },
    "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 Glendale, CA
• Providers in Glendale, 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 Sep 11, 2020; 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.