STATEWIDE HOSPICE, INC.
NPI 1376167965
Hospice Care, Community Based in Glendale, CA
About Statewide Hospice, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATEWIDE HOSPICE, INC. (NPI 1376167965) is a healthcare organization registered as a hospice care, community based in Glendale, California and active in the NPI registry since May 2020. The organization lists Gayane Musayelyan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Statewide Hospice, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Hospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Statewide Hospice, Inc (CMS certification number B21752), from CMS Care Compare.
Statewide Hospice, Inc
Hospice · Glendale, CAFrequently 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 Statewide Hospice, Inc.'s NPI number?
The NPI number for Statewide Hospice, Inc. is 1376167965. It was assigned to this organization in the NPPES registry on May 30, 2020.
Where is Statewide Hospice, Inc. located?
Statewide Hospice, Inc. is located at 1110 Sonora Ave Ste 103, Glendale, CA 91201. The listed phone number is (818) 937-9095.
What is Statewide Hospice, Inc.'s specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is Statewide Hospice, Inc. enrolled in Medicare?
Yes. Statewide Hospice, Inc. is registered in the Medicare PECOS enrollment system.
When is Statewide Hospice, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Is Statewide Hospice, Inc. a Medicare-certified hospice?
Yes. Statewide Hospice, Inc is a Medicare-certified hospice (CMS certification number B21752), certified since May 13, 2021.
When was this NPI record last updated?
The NPPES record for Statewide Hospice, Inc. was last updated on May 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Statewide Hospice, Inc. · NPI 1376167965
Hospice Care, Community Based organization in Glendale, California. Organization record, active in the CMS NPPES registry since May 30, 2020.
## Identity
- **NPI:** 1376167965 (Entity type: Organization)
- **Enumerated:** May 30, 2020
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Gayane Musayelyan, CEO
## Practice location
- **Address:** 1110 SONORA AVE STE 103, Glendale, CA 91201-3167
- **Phone:** (818) 937-9095
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, California, Hospice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376167965) · Data from the CMS NPPES public registry.