Caring Nurses Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CARING NURSES HOSPICE INC

Practice address

220 S Kenwood St Ste 102
Glendale, CA 91205-1671

Phone

(818) 430-4450

Fax

(747) 777-4389

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Gina Petrosyan

Title

Ceo

Phone

(818) 430-4450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41732

Legal name

CARING NURSES HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 9, 2022

Last certification

Aug 25, 2022

Organization structure

CorporationProprietary

Incorporated

May 15, 2020 in CA

Enrollment address

220 S Kenwood St
Ste 102
Glendale, CA 91205-1671

Listed as

Caring Nurses Hospice IncCCN B41732

Certified

Sep 9, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Jae Hoon Lee, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Santa Ana, CA
  • NPI 1912105297

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Jae Hoon Lee, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Santa Ana, CA
  • NPI 1912105297
  NPD (past)

Affiliated clinicians 1

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

• Rasam Hosseinian, M.D.

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1326092834

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1871192989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S KENWOOD ST STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051671",
            "telephone_number": "818-430-4450",
            "fax_number": "747-777-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S KENWOOD ST STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051671",
            "telephone_number": "818-430-4450",
            "fax_number": "747-777-4389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14545 Friar St Ste 184",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914112397",
            "country_code": "US",
            "telephone_number": "747-234-0952",
            "fax_number": "747-234-0953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARING NURSES HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-430-4450"
    },
    "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 Jun 6, 2024; 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.