Mother Theresa Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOTHER THERESA HOSPICE INC

Practice address

847 No Hollywood Way
Suite 203B
Burbank, CA 91505

Phone

(818) 566-9710

Fax

(818) 566-8711

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Kristina Kasabyan

Title

Ceo

Phone

(818) 566-9710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751605

Legal name

MOTHER THERESA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 9, 2014

Last certification

May 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 12, 2012 in CA

Enrollment address

847 N Hollywood Way
Suite 203 B
Burbank, CA 91505-2843

Listed as

Mother Theresa Hospice, IncCCN 751605

Ownership

For-Profit

Certified

Sep 9, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Affiliated clinicians 1

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

• Douglas A Webber, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1497783708

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1922357516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 NO HOLLYWOOD WAY",
            "address_2": "SUITE 203B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-566-9710",
            "fax_number": "818-566-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 NO HOLLYWOOD WAY",
            "address_2": "SUITE 203B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-566-9710",
            "fax_number": "818-566-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER THERESA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "KASABYAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-566-9710"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Brenda Morrow, DC
• Stephen Morse
• Diana Morshedian
• McKenzie Moser
• Simone Mosley
• Mother Theresa'S Home Health Care Services Inc.
• Motion Picture and Television Fund Medical Group
• Motivational Recovery Services
• Motivational Recovery Services
• Meena Motwani, R.PH

• 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 Aug 29, 2012; 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.