Organization Active NPI

Adlife Hospice, Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1881291375
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADLIFE HOSPICE, INC.
Practice address
2321 W Olive Ave Ste H
Burbank, CA 91506-2662
Phone
(747) 356-4006
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Arman Pogosian
Title
Ceo
Phone
(747) 356-4006

Specialties & licenses 1

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

Addresses

Primary practice location

2321 W Olive Ave Ste H
Burbank, CA 91506-2662

Mailing address

2321 W Olive Ave Ste H
Burbank, CA 91506-2662
Phone (747) 356-4006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210525002347 CA Part A Provider - Hospice 6002215050 Practice locations: Cerritos, CA

Hospice certification: CCN B21722

Legal name
ADLIFE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 4, 2021
Last certification
Aug 4, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 17, 2020 in CA
Enrollment address
16468 Norwalk Blvd
Cerritos, CA 90703-1929

Care Compare: Hospice

Medicare Care Compare
Listed as
Adlife Hospice Inc.CCN B21722
Ownership
For-Profit
Certified
Aug 4, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2321 W Olive Ave
Ste H
Burbank, CA 91506
Phone (747) 356-4006

16468 Norwalk Blvd
Cerritos, CA 90703
Phone (562) 219-0557

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
Cherry Guanzon Individual 5% Or Greater Direct Ownership Interest Jan 27, 2022 100%
Corporate OfficerAdministrator/DPCS Jan 27, 2022 100%
W-2 Managing EmployeeAdministrator/DPCS Jan 27, 2022 100%

Practitioners & affiliated clinicians

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1881291375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W OLIVE AVE STE H",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062662",
            "telephone_number": "747-356-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W OLIVE AVE STE H",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062662",
            "telephone_number": "747-356-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADLIFE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "POGOSIAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-356-4006"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.