TLC Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TLC HOSPICE CARE INC

Practice address

4605 Lankershim Blvd Ste 305a
North Hollywood, CA 91602-1875

Phone

(818) 736-9622

NPI assigned

May 22, 2020

Last updated

Nov 22, 2021By 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

Nona Galstyan

Title

Ceo

Phone

(818) 736-9622

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 1982227088. Details of each certification follow.

• CCN B21503 Hospice · Active · Details

Hospice certification: CCN B21503

Legal name

TLC HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 13, 2021

Last certification

Apr 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 5, 2019 in CA

Enrollment address

4605 Lankershim Blvd
Ste 305a
North Hollywood, CA 91602-1875

Listed as

TLC Hospice Care, IncCCN B21503 · All quality measures

Ownership

For-Profit

Certified

Apr 13, 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.

• Robert E Thompson

  • Pulmonary Disease Physician
  • Northridge, CA
  • NPI 1982675666

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Robert E Thompson

  • Pulmonary Disease Physician
  • Northridge, CA
  • NPI 1982675666

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1982227088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 305A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021875",
            "telephone_number": "818-736-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 305A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021875",
            "telephone_number": "818-736-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "GALSTYAN",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-736-9622"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.