MEDICARE: ST. RITA HOSPICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750845590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. RITA HOSPICE, INC.

Provider Business Mailing Address
First Line	:	415 E HARVARD ST STE 104A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1045
Country	:	US
Telephone Number	:	805-306-0440
Fax Number	:	818-241-7900

Provider Business Practice Location Address
First Line	:	415 E HARVARD ST STE 104A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1045
Country	:	US
Telephone Number	:	805-306-0440
Fax Number	:	818-241-7900

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ANGELA KHANJYAN
Credential	:
Telephone Number	:	818-696-2300

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	01/25/2022

Similar Medicare Providers

1033072285 — COMFORT MATTERS HOSPICE, INC.
Practice Location Address:

415 E HARVARD ST STE 203
GLENDALE, CA
91205-1045

Practice Phone: 818-385-5081
Practice Fax:

1235500059 — SAFEWAY HOSPICE CORP
Practice Location Address:

415 E HARVARD ST STE 203
GLENDALE, CA
91205-1045

Practice Phone: 818-945-5964
Practice Fax: 818-945-5965

1316401151 — TRANQUIL HOSPICE, INC.
Practice Location Address:

415 E HARVARD ST STE 101C
GLENDALE, CA
91205-1045

Practice Phone: 818-934-7755
Practice Fax: 818-553-8118

1497377485 — GHC CARING SERVICES INC
Practice Location Address:

415 E HARVARD ST STE 101A
GLENDALE, CA
91205-1045

Practice Phone: 818-424-0056
Practice Fax: 818-502-9997

1093316739 — S AND N HOSPICE INC
Practice Location Address:

415 E HARVARD ST STE 104B
GLENDALE, CA
91205-1045

Practice Phone: 626-486-2034
Practice Fax:

1588266134 — BRIGHTWAY HOSPICE
Practice Location Address:

415 E HARVARD ST STE 203A
GLENDALE, CA
91205-1045

Practice Phone: 818-424-6330
Practice Fax:

Directions to “ST. RITA HOSPICE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.