Organization Active NPI

Soul Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1982297529
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOUL HOSPICE CARE, INC.
Practice address
2930 Honolulu Ave Ste 200
Glendale, CA 91214-3981
Phone
(747) 203-0466
Fax
(747) 203-0998
NPI assigned
Feb 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Gregor Gokor Stepanyan
Title
Ceo/President
Phone
(747) 203-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2930 Honolulu Ave Ste 200
Glendale, CA 91214-3981

Mailing address

2930 Honolulu Ave Ste 200
Glendale, CA 91214-3981
Phone (747) 203-0466

Care Compare: Hospice

Medicare Care Compare
Listed as
Soul Hospice Care, Inc.CCN B51625
Certified
Jul 26, 2022
Medicare certification status
Terminated Voluntary: merger or closure, May 13, 2026From the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

2930 Honolulu Ave
Ste 200
La Crescenta, CA 91214
Phone (747) 203-0466

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1982297529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HONOLULU AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143981",
            "telephone_number": "747-203-0466",
            "fax_number": "747-203-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HONOLULU AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143981",
            "telephone_number": "747-203-0466",
            "fax_number": "747-203-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "STEPANYAN",
        "authorized_official_first_name": "GREGOR",
        "authorized_official_middle_name": "GOKOR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "747-203-0466"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.