Organization Active NPI

Pure Quality Hospice

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1962072280
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Vazrik MadadiNPI 1821694167
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HospiceCCN B31534
Certified
Oct 20, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Vazrik Madadi Individual 5% Or Greater Direct Ownership InterestCeo Sep 28, 2020 100%
Corporate OfficerCeo Sep 28, 2020 100%
Corporate DirectorCeo Sep 28, 2020 100%
W-2 Managing EmployeeCeo Sep 28, 2020 100%
Elena D Spektor Individual Contracted Managing EmployeeMD; Aug 1, 2022
Vahan Oganesyan Individual W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.