Sunrise Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNRISE HOME HEALTH SERVICES, INC.

Practice address

1131 N Pacific Ave
Glendale, CA 91202-2358

Phone

(323) 707-4005

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pogos Chefteyan

Title

President

Phone

(323) 707-4005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043733421. Details of each certification follow.

• CCN 559099 Home health agency · Active · Details

Home health agency certification: CCN 559099

Legal name

SUNRISE HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 4, 2019

Last certification

Nov 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

412 W Broadway
Ste 201
Glendale, CA 91204-1297

Listed as

Sunrise Home Health Services, IncCCN 559099 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Nov 4, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Missak Kltchian, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1255359840

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Galust Gary Halajyan, MD

  • Pediatric Anesthesiology Physician
  • Moreno Valley, CA
  • NPI 1629161385

  Home health agency

  Care Compare affiliation
• Suzanna Stepanian, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1609585157

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1043733421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "323-707-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "CHEFTEYAN",
        "authorized_official_first_name": "POGOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-707-4005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunshine Hospice Care, Inc.
• Sunshine Medical Transportation Inc

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.