Organization Active NPI

Bright Star Hospice Care

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1861091712
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.