Circle of Life Hospice

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CIRCLE OF LIFE HOSPICE

Practice address

1241 S Glendale Ave Ste 304E
Glendale, CA 91205-3386

Phone

(818) 355-1775

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Artoor Moses

Title

Ceo

Phone

(818) 355-1775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21642

Legal name

CIRCLE OF LIFE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 23, 2021

Last certification

Jul 23, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 29, 2017 in CA

Enrollment address

315 W Verdugo Ave
Ste 212
Burbank, CA 91502-2469

Listed as

Circle of Life HospiceCCN B21642

Ownership

For-Profit

Certified

Jul 23, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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 2

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

• Diana Gevorgyan, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1427845783

  W-2 Managing Employee

  CMS ownership
• Oleg Liakhovetski, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1154584316

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Oleg Liakhovetski, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
  • NPI 1154584316

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1942776851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 304E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 304E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053386",
            "telephone_number": "818-355-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "ARTOOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-355-1775"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Cipta
• Circle Home Health Care
• Circle of Help Foundation
• Circle of Help Foundation
• Circle of Life Home Health, Inc.
• Citadel Hospice Care
• Citi Pharmacy
• Citrus Pathology Medical Group
• City of Glendale Finance Division
• City Wide Transportation Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.