Organization Active NPI

Scope Health Care Services, Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1871895979
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SCOPE HEALTH CARE SERVICES, INC.
Practice address
1211 W Magnolia Blvd
Burbank, CA 91506-1829
Phone
(818) 848-8575
Fax
(818) 848-8528
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Mrs. Alicia Balmores Lansangan, RN
Title
Secretary
Phone
(818) 848-8575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1211 W Magnolia Blvd
Burbank, CA 91506-1829

Mailing address

1211 W Magnolia Blvd
Burbank, CA 91506-1829
Phone (818) 848-8575

Other names 1

  • Vida Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110223000553 CA Part A Provider - Hospice 0648451781 Practice locations: Burbank, CA

Hospice certification: CCN 751573

Legal name
SCOPE HEALTH CARE SERVICES, INC.
Doing business as
VIDA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 27, 2014
Last certification
Nov 21, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 10, 2010 in CA
Enrollment address
1211 W Magnolia Blvd
Burbank, CA 91506-1829

Care Compare: Hospice

Medicare Care Compare
Listed as
Vida HospiceCCN 751573
Ownership
For-Profit
Certified
Feb 27, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2023718Scope Health Care Services Inc Dba Vida Hospice1211 W Magnolia Blvd, Burbank, CA 91506Certificate of waiverJul 20, 2026

National Provider Directory

National Provider Directory

Locations

1211 W Magnolia Blvd
Burbank, CA 91506
Phone (323) 620-3463

Ownership & related parties

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.

NameRoleSinceShare
Jesus S Lansangan Individual 5% Or Greater Direct Ownership Interest Mar 7, 2016 60%
Corporate OfficerPresident/Ceo Mar 7, 2016 60%
Corporate DirectorBoard Member Mar 7, 2016 60%
W-2 Managing EmployeeAdministrator Mar 7, 2016 60%
Anil Gupta Individual Contracted Managing EmployeeMD; Jan 27, 2025
Alicia B Lansangan Individual 5% Or Greater Direct Ownership Interest Mar 7, 2016 40%
Corporate OfficerSecretary Mar 7, 2016 40%
Corporate DirectorBoard Member Mar 7, 2016 40%
W-2 Managing EmployeeDirector of Nursing Mar 7, 2016 40%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1871895979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061829",
            "telephone_number": "818-848-8575",
            "fax_number": "818-848-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061829",
            "telephone_number": "818-848-8575",
            "fax_number": "818-848-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOPE HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "LANSANGAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "BALMORES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-848-8575",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.