Organization Active NPI

S and N Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1093316739
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
S AND N HOSPICE INC
Practice address
415 E Harvard St Ste 104B
Glendale, CA 91205-1045
Phone
(626) 486-2034
NPI assigned
Nov 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Hayk Sarkisyan
Title
Ceo
Phone
(818) 945-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

415 E Harvard St Ste 104B
Glendale, CA 91205-1045

Mailing address

415 E Harvard St Ste 104B
Glendale, CA 91205-1045
Phone (626) 486-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310002095 CA Part A Provider - Hospice 5890180780 Practice locations: Glendale, CA; Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093316739. Details of each certification follow.

Hospice certification: CCN B51686

Legal name
S AND N HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 15, 2023
Last certification
Mar 15, 2023
Organization structure
CorporationProprietary
Incorporated
May 2, 2022 in CA
Enrollment address
2500 E Foothill Blvd
Ste 512
Pasadena, CA 91107-7126

Care Compare: Hospice

Medicare Care Compare
Listed as
S and N Hospice, IncCCN B51686 · All quality measures
Certified
Mar 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

415 E Harvard St
Ste 103B
Glendale, CA 91205
Phone (626) 486-2034

2500 E Foothill Blvd
Ste 512
Pasadena, CA 91107
Phone (626) 486-2034

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Hayk Sarkisyan Individual 5% Or Greater Direct Ownership Interest Apr 30, 2022 100%
Corporate OfficerCeo Apr 30, 2022 100%
Corporate DirectorCeo Apr 30, 2022 100%
W-2 Managing EmployeeCeo Apr 30, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1093316739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 104B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "626-486-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 104B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "626-486-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND N HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SARKISYAN",
        "authorized_official_first_name": "HAYK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-945-0077"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.