Beverly Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BEVERLY HOSPICE CARE, INC.

Practice address

6931 Van Nuys Blvd Ste 332B
Van Nuys, CA 91405-3999

Phone

(323) 516-6299

NPI assigned

Mar 26, 2020

Last updated

Mar 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dina Lipe Morales

Title

Ceo

Phone

(323) 516-6299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922635127. Details of each certification follow.

• CCN B21576 Hospice · Active · Details

Hospice certification: CCN B21576

Legal name

BEVERLY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 19, 2021

Last certification

May 19, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

6931 Van Nuys Blvd
Ste 332B
Van Nuys, CA 91405-3999

Listed as

Beverly Hospice Care, Inc.CCN B21576 · All quality measures

Ownership

For-Profit

Certified

May 19, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• John Spillane Burns, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1407921737

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1922635127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 332B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053999",
            "telephone_number": "323-253-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 VAN NUYS BLVD STE 332B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053999",
            "telephone_number": "323-516-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "LIPE MORALES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-516-6299"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Khachik Bgdoian, ESQ., BCBA
• Bharat Jain Chiropractic Inc

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Mar 25, 2025; 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.