Organization Active NPI

Comfortcare Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1881284883
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMFORTCARE HOSPICE INC
Practice address
401 N Brand Blvd # 822
Glendale, CA 91203-4427
Phone
(818) 480-5779
Fax
(818) 450-5443
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Gayane Asatryan
Title
Ceo
Phone
(818) 480-5779

Specialties & licenses 1

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

Addresses

Primary practice location

401 N Brand Blvd # 822
Glendale, CA 91203-4427

Mailing address

121 W Lexington Dr # 822
Glendale, CA 91203-2203
Phone (818) 480-5779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201001057 CA Part A Provider - Hospice 0749694800 Practice locations: Glendale, CA

Hospice certification: CCN B31677

Legal name
COMFORTCARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 3, 2022
Last certification
Feb 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 9, 2020 in CA
Enrollment address
401 N Brand Blvd
Ste 822
Glendale, CA 91203-4427

Care Compare: Hospice

Medicare Care Compare
Listed as
Comfortcare Hospice IncCCN B31677 ยท All quality measures
Certified
Feb 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

401 N Brand Blvd
Ste 822
Glendale, CA 91203
Phone (818) 480-5779

121 W Lexington Dr
#822
Glendale, CA 91203

121 W Lexington Dr
Ste 822
Glendale, CA 91203

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Gayane Asatryan Individual 5% Or Greater Direct Ownership InterestCeo Jan 1, 2020 100%
Corporate OfficerCeo Dec 20, 2020 100%
W-2 Managing EmployeeCeo May 1, 2021

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1881284883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR # 822",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032203",
            "telephone_number": "818-480-5779",
            "fax_number": "818-450-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD # 822",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-5779",
            "fax_number": "818-450-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTCARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "ASATRYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-480-5779"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.