Organization Active NPI

Lotus Bloom Hospice, Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1912583113
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LOTUS BLOOM HOSPICE, INC
Practice address
127 S Brand Blvd Ste 211
Glendale, CA 91204-1372
Phone
(747) 737-3035
NPI assigned
Mar 19, 2021
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Tina Beglaryan
Title
Ceo
Phone
(747) 737-3035

Specialties & licenses 1

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

Addresses

Primary practice location

127 S Brand Blvd Ste 211
Glendale, CA 91204-1372

Mailing address

127 S Brand Blvd Ste 211
Glendale, CA 91204-1372
Phone (747) 737-3035

Care Compare: Hospice

Medicare Care Compare
Listed as
Lotus Bloom Hospice, IncCCN B41744
Certified
Aug 9, 2022
Medicare certification status
Terminated Voluntary: merger or closure, Apr 1, 2026From the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
05D2297648Lotus Bloom Hospice Inc127 S Brand Blvd Ste 211, Glendale, CA 91204Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 211
Glendale, CA 91204
Phone (747) 737-3035

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1912583113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "747-737-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041372",
            "telephone_number": "747-737-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLOOM HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BEGLARYAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-737-3035"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.