Active NPI
Pure Quality Hospice
- Community Based Hospice Care Agency
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PURE QUALITY HOSPICE
- Practice address
- 241 E Colorado Blvd Ste 200
Pasadena, CA 91101-6138 - Phone
- (626) 800-0106
- Fax
- (626) 800-0107
- NPI assigned
- Jun 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vazrik Madadi
- Title
- Ceo
- Phone
- (626) 800-0106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
241 E Colorado Blvd Ste 200
Pasadena, CA 91101-6138
Mailing address
241 E Colorado Blvd Ste 200
Pasadena, CA 91101-6138
Phone (626) 800-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210812001177 | CA | Part A Provider - Hospice | 6305240334 | Practice locations: Sunland, CA |
Hospice certification: CCN B31534
- Legal name
- PURE QUALITY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 20, 2021
- Last certification
- Oct 20, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 28, 2020 in CA
- Enrollment address
- 8349 Foothill Blvd
Ste D
Sunland, CA 91040
Care Compare: Hospice
Medicare Care Compare- Listed as
- Pure Quality Hospice
- Certified
- Oct 20, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
241 E Colorado Blvd
Ste 200
Pasadena, CA 91101
Phone (626) 800-0106
8349 Foothill Blvd
Ste D
Sunland, CA 91040
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vazrik Madadi | 5% Or Greater Direct Ownership Interest | Sep 28, 2020 | 100% |
| Corporate Officer | Sep 28, 2020 | 100% | |
| Corporate Director | Sep 28, 2020 | 100% | |
| W-2 Managing Employee | Sep 28, 2020 | 100% | |
| Elena D Spektor | Contracted Managing Employee | Aug 1, 2022 | |
| Vahan Oganesyan | W-2 Managing Employee | Jun 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Pasadena, CA
- NPI 1821694167
Hospice Care, Community Based
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624924800000",
"number": "1962072280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 E COLORADO BLVD STE 200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016138",
"telephone_number": "626-800-0106",
"fax_number": "626-800-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 E COLORADO BLVD STE 200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911016138",
"telephone_number": "626-800-0106",
"fax_number": "626-800-0107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE QUALITY HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A",
"authorized_official_last_name": "MADADI",
"authorized_official_first_name": "VAZRIK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-800-0106"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.