Brightstar Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIGHTSTAR HOSPICE, INC.

Practice address

120 N Victory Blvd Ste 304
Burbank, CA 91502-0001

Phone

(818) 921-6050

Fax

(818) 457-9603

NPI assigned

May 12, 2020

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hakob Jacob Khachatryan

Title

Ceo/Cfo

Phone

(818) 921-6050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881216885. Details of each certification follow.

• CCN B21762 Hospice · Active · Details

Hospice certification: CCN B21762

Legal name

BRIGHTSTAR HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 14, 2021

Last certification

Sep 14, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 1, 2020 in CA

Enrollment address

120 N Victory Blvd
Ste 304
Burbank, CA 91502-0001

Listed as

Brightstar Hospice, IncCCN B21762 · All quality measures

Ownership

For-Profit

Certified

Sep 14, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

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

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1881216885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 304",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "818-921-6050",
            "fax_number": "818-457-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 304",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "818-921-6050",
            "fax_number": "818-457-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "HAKOB",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "818-921-6050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Star Home Health Care, Inc.
• Bright Start Recovery
• Kristin Bright
• Brighter Day Healthcare
• Brightlife Medical Group
• Robert E. Brill, O.D.
• Marta Bringas, LPC
• Bradley Briscoe
• Brookdale Hospice, Inc.
• Elizabeth Brooks Oakley, CCC-SLP

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 May 22, 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.