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COUNTRY CLUB HOSPICE, INC.
NPI 1215543434
Hospice Care, Community Based in Burbank, CA

Active since September 22, 2020
3089 N LIMA ST STE D, BURBANK, CA 91504(747) 200-4175(747) 273-0558 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2021, Sep 22, 2020 (2 updates tracked since 2020).

About Country Club Hospice, Inc. NPPES

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

COUNTRY CLUB HOSPICE, INC. (NPI 1215543434) is a healthcare organization registered as a hospice care, community based in Burbank, California and active in the NPI registry since September 2020. The organization lists David Gabrielyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215543434
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCOUNTRY CLUB HOSPICE, INC.
Location Address3089 N LIMA ST STE DBurbank, CA 91504-2013
Mailing Address3089 N Lima St Ste DBurbank, CA 91504-2013 · (747) 200-4175 · Fax (747) 273-0558
Phone(747) 200-4175
Fax(747) 273-0558
Organization SubpartNo
Authorized OfficialDavid GabrielyanCeo · (747) 200-4175
Enumeration DateSeptember 22, 2020
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1215543434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
3089 N LIMA ST STE D, Burbank, CA 91504
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Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Country Club Hospice, Inc (CMS certification number B21787), from CMS Care Compare.

Country Club Hospice, Inc

Hospice · Burbank, CA
OwnershipFor-Profit
CMS Certification NumberB21787
CMS RegionRegion 9
Medicare-Certified SinceNovember 16, 2021
Location3089 N Lima Street Suite DBurbank, CA 91504 · Los Angeles County
Phone(747) 200-4175

Quality Measures

Hospice and Palliative Care Treatment Preferences
20 patient stays
95%
Beliefs & Values Addressed (if desired by the patient)
20 patient stays
95%
Hospice and Palliative Care Pain Screening
20 patient stays
95%
Hospice and Palliative Care Dyspnea Screening
20 patient stays
95%
Hospice and Palliative Care Composite Process Measure
20 patient stays
70%
Hospice Visits in the Last Days of Life
30 patient stays
6.7%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
8/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 65
0.1%
Gaps in nursing visits
National percentile 45
51.6%
Early live discharges
National percentile 19
0%
Late live discharges
National percentile 98
75%
Burdensome transitions, Type 1
National percentile 19
0%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 93
$28,603
Nurse care minutes per routine home care days
National percentile 84
16.3 minutes
Skilled nursing minutes on weekends
National percentile 49
7.9%
Visits near death
National percentile 64
95%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

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 Country Club Hospice, Inc.'s NPI number?

The NPI number for Country Club Hospice, Inc. is 1215543434. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Country Club Hospice, Inc. located?

Country Club Hospice, Inc. is located at 3089 N Lima St Ste D, Burbank, CA 91504. The listed phone number is (747) 200-4175.

What is Country Club Hospice, Inc.'s specialty?

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

Is Country Club Hospice, Inc. a Medicare-certified hospice?

Yes. Country Club Hospice, Inc is a Medicare-certified hospice (CMS certification number B21787), certified since November 16, 2021.

When was this NPI record last updated?

The NPPES record for Country Club Hospice, Inc. was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.