Shrine Hospice Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHRINE HOSPICE CARE, INC

Practice address

7120 Hayvenhurst Ave Ste 212
Van Nuys, CA 91406-3813

Phone

(818) 446-9798

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Adrienne Nussbaum

Title

Coo

Phone

(760) 774-9996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1962043745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-446-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 HAYVENHURST AVE STE 212",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063813",
            "telephone_number": "818-446-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "760-774-9996"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962043745",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Grant Shore, MD
• Shoreline Hospice, Inc.
• Elena Shostak, PA-C
• Alaura Sheleen Shouse
• Nicole Tawnya Shrieves, LPCC
• Eliza Shubaralyan
• Jennifer Shullen, A.A., B.A, AOD CERT.
• Jennifer Shultz
• Sergei Shupletsov
• Hugo Sibrian

• 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 Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.