Active NPI
Bright Star Hospice Care
- Community Based Hospice Care Agency
- Los Angeles, CA
National Provider Identifier
1861091712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BRIGHT STAR HOSPICE CARE
- Practice address
- 10817 Santa Monica Blvd Ste 100
Los Angeles, CA 90025-4690 - Phone
- (818) 600-1036
- NPI assigned
- Oct 21, 2020
- Last updated
- Dec 16, 2024
- 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
- Diana Shyshakova
- Title
- Owner
- Phone
- (818) 600-1036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10817 Santa Monica Blvd Ste 100
Los Angeles, CA 90025-4690
Mailing address
10817 Santa Monica Blvd Ste 100
Los Angeles, CA 90025-4690
Phone (818) 600-1036
National Provider Directory
National Provider DirectoryLocations
10817 Santa Monica Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 508-5184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1861091712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10817 SANTA MONICA BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254690",
"telephone_number": "818-600-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10817 SANTA MONICA BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254690",
"telephone_number": "818-600-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT STAR HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "SHYSHAKOVA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-600-1036"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Bright Beginnings for Kids, Inc.
- Bright Beginnings Speech Pathology Inc
- Bright Home Health
- Bright Horizon Care Hospice, Inc.
- Bright Star Behavioral Health Services
- Bright Sunrise Home Health, Inc.
- Bright Sunshine Home Health Care Inc
- Aaron Albert Bright, M.D.
- Anthony Bright
- David Charles Bright, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.