Universal Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550001288 Issued in CA

Legal business name

UNIVERSAL HOSPICE INC

Practice address

151 N San Vicente Blvd
#209
Beverly Hills, CA 90211-2323

Phone

(323) 655-6444

Fax

(323) 655-8289

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Roy Eisenberg

Title

Operations Manager

Phone

(323) 655-6444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751716

Legal name

UNIVERSAL HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 28, 2015

Last certification

Jan 10, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 26, 2011 in CA

Enrollment address

151N San Vicente Blvd 209
Beverly Hills, CA 90211-2323

Listed as

Universal Hospice, IncCCN 751716

Ownership

For-Profit

Certified

Jul 28, 2015

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 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

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

• Ilya Gelman, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1811008022

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1871877217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SAN VICENTE BLVD",
            "address_2": "#209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112323",
            "telephone_number": "323-655-6444",
            "fax_number": "323-655-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SAN VICENTE BLVD",
            "address_2": "#209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112323",
            "telephone_number": "323-655-6444",
            "fax_number": "323-655-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "323-655-6444"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Beverly Hills, CA
• Providers in Beverly Hills, 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 4, 2011; 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.