Traditional Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRADITIONAL HOSPICE SERVICES, INC.

Practice address

427 W Colorado St Ste 204
Glendale, CA 91204-3049

Phone

(818) 396-5488

Fax

(844) 571-8035

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Suzanne Naoumovitch Luhrs

Title

Ceo

Phone

(818) 396-5488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51762

Legal name

TRADITIONAL HOSPICE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 15, 2023

Last certification

May 5, 2023

Organization structure

CorporationProprietary

Enrollment address

427 W Colorado St
Ste 204
Glendale, CA 91204-3049

Listed as

Traditional Hospice Services, Inc.CCN B51762

Certified

May 15, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Sieghart H Ponhold, M.D

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1891883955

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1881293967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W COLORADO ST STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043049",
            "telephone_number": "818-396-5488",
            "fax_number": "844-571-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W COLORADO ST STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043049",
            "telephone_number": "818-396-5488",
            "fax_number": "844-571-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "LUHRS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "NAOUMOVITCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-5488"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 20, 2020; 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.