SK Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SK HOSPICE CARE, INC.

Practice address

8925 Sepulveda Blvd Ste 200B
North Hills, CA 91343-4353

Phone

(747) 236-7229

Fax

(747) 236-4816

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Samvel Khachatryan

Title

Ceo

Phone

(747) 236-7229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51757

Legal name

SK HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 1, 2023

Last certification

Jul 27, 2023

Organization structure

CorporationProprietary

Incorporated

Dec 3, 2020 in CA

Enrollment address

8925 Sepulveda Blvd
Ste 200B
North Hills, CA 91343-4353

Listed as

SK Hospice Care, Inc.CCN B51757

Certified

Aug 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1346901162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 SEPULVEDA BLVD STE 200B",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434353",
            "telephone_number": "747-236-7229",
            "fax_number": "747-236-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 SEPULVEDA BLVD STE 200B",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913434353",
            "telephone_number": "747-236-7229",
            "fax_number": "747-236-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-236-7229"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Shu
• Louisa Rose Singer, RN, CRNFA
• Harman Singh, DO
• Ranbir Singh, DDS
• Serena Sitterle, BA
• Lucy Dayana Sladek, M.A.
• Amanda Smith
• Cynthia Vanessa Smith
• Delores Smith, CAADE CATCI #6963
• Dianne Vernalene Smith, M.S.

• Community Based Hospice Care Agency in North Hills, CA
• Providers in North Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.