Hospice of St. Clare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF ST. CLARE, INC.

Practice address

144 N Glendale Ave #222
Glendale, CA 91206-4903

Phone

(818) 508-8500

Fax

(818) 508-8501

NPI assigned

Nov 3, 2011

Last updated

Oct 24, 2014By 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

Mrs. Angel Samvalian

Title

Ceo

Phone

(818) 243-9999

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 1851678916. Details of each certification follow.

• CCN 751627 Hospice · Active · Details

Hospice certification: CCN 751627

Legal name

HOSPICE OF ST. CLARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 7, 2014

Last certification

May 28, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 1, 2011 in CA

Enrollment address

144 N Glendale Ave
# 303
Glendale, CA 91206-4903

Listed as

Hospice of St. Clare, IncCCN 751627 · All quality measures

Ownership

For-Profit

Certified

Nov 7, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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 1

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

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1851678916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N GLENDALE AVE #222",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064903",
            "telephone_number": "818-508-8500",
            "fax_number": "818-508-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N GLENDALE AVE #222",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064903",
            "telephone_number": "818-508-8500",
            "fax_number": "818-508-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF ST. CLARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SAMVALIAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-243-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 Oct 24, 2014; 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.