BLOOMING LIFE HOSPICE
NPI 1194341164
Hospice Care, Community Based in Glendale, CA

Active since June 24, 2020CLIA 05D2313515 · Waiver
600 W BROADWAY STE 300, GLENDALE, CA 91204(818) 619-2222(818) 484-5199 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Jun 24, 2020 (2 updates tracked since 2020).

About Blooming Life Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMING LIFE HOSPICE (NPI 1194341164) is a healthcare organization registered as a hospice care, community based in Glendale, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Narine Shakhmuradyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194341164
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBLOOMING LIFE HOSPICE
Location Address600 W BROADWAY STE 300Glendale, CA 91204-1025
Mailing Address600 W Broadway Ste 300Glendale, CA 91204-1025 · (818) 619-3333 · Fax (818) 484-5199
Fax(818) 484-5199
Organization SubpartNo
Authorized OfficialNarine ShakhmuradyanCeo · (818) 818-3690
Enumeration DateJune 24, 2020
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1194341164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
600 W BROADWAY STE 300, Glendale, CA 91204

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2313515

Blooming Life Hospice · Glendale, CA
Active · expires Oct 31, 2026
CLIA Number05D2313515
Laboratory TypeHospice
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorNehal G. Patel
Laboratory Phone(818) 369-0099
Laboratory LocationBlooming Life Hospice600 W Broadway Suite 300, Glendale, CA 91204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Blooming Life Hospice (CMS certification number B41509), from CMS Care Compare.

Blooming Life Hospice

Hospice · Van Nuys, CA
OwnershipFor-Profit
CMS Certification NumberB41509
CMS RegionRegion 9
Medicare-Certified SinceMarch 21, 2022
Location14545 Friar St Suite 205LVan Nuys, CA 91411 · Los Angeles County

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204
Behavior Technician
600 W BROADWAY STE 300
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blooming Life Hospice's NPI number?

The NPI number for Blooming Life Hospice is 1194341164. It was assigned to this organization in the NPPES registry on June 24, 2020.

Where is Blooming Life Hospice located?

Blooming Life Hospice is located at 600 W Broadway Ste 300, Glendale, CA 91204. The listed phone number is (818) 619-2222.

What is Blooming Life Hospice's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Blooming Life Hospice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2313515) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Blooming Life Hospice a Medicare-certified hospice?

Yes. Blooming Life Hospice is a Medicare-certified hospice (CMS certification number B41509), certified since March 21, 2022.

When was this NPI record last updated?

The NPPES record for Blooming Life Hospice was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.