Fellowship Hospice Services Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FELLOWSHIP HOSPICE SERVICES INC.

Practice address

520 N Brookhurst St Ste 214
Anaheim, CA 92801-5238

Phone

(562) 462-0044

Fax

(562) 462-0045

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Jed David, LVN

Title

Ceo/Administrator

Phone

(562) 547-4677

Specialties & licenses 1

Addresses

Listed as

Fellowship Hospice Services IncCCN 751739

Ownership

For-Profit

Certified

Oct 2, 2015

Medicare certification status

Terminated Voluntary: merger or closure, Mar 31, 2026From 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Mehlman

  • Case Manager/Care Coordinator
  • Winnetka, CA
  • NPI 1871919852
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1861818718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 214",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015238",
            "telephone_number": "562-462-0044",
            "fax_number": "562-462-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 214",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015238",
            "telephone_number": "562-462-0044",
            "fax_number": "562-462-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOSPICE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-547-4677",
        "authorized_official_credential": "LVN"
    },
    "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 Anaheim, CA
• Providers in Anaheim, 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 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.