Active NPI
Sun Valley Hospice Inc
- Community Based Hospice Care Agency
- Sun Valley, CA
National Provider Identifier
1376179846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SUN VALLEY HOSPICE INC
- Practice address
- 8135 San Fernando Rd
Sun Valley, CA 91352-4005 - Phone
- (818) 484-0458
- NPI assigned
- Mar 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Narek Hakobyan
- Title
- Ceo
- Phone
- (818) 484-0458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
8135 San Fernando Rd
Sun Valley, CA 91352-4005
Mailing address
8135 San Fernando Rd
Sun Valley, CA 91352-4005
Phone (818) 484-0458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210609001459 | CA | Part A Provider - Hospice | 1052711231 | Practice locations: Sun Valley, CA |
Hospice certification: CCN B51582
- Legal name
- SUN VALLEY HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 14, 2022
- Last certification
- Sep 14, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 8135 San Fernando Rd
Sun Valley, CA 91352-4005
Care Compare: Hospice
Medicare Care Compare- Listed as
- Sun Valley Hospice, Inc
- Certified
- Sep 14, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
8135 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 484-0458
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hovhannes Mkrtchyan | W-2 Managing Employee | Feb 27, 2020 | |
| Novemik Ter-Abramian | W-2 Managing Employee | Jan 1, 2024 | |
| Narek Hakobyan | 5% Or Greater Direct Ownership Interest | Feb 21, 2020 | 100% |
| Corporate Officer | Feb 21, 2020 | 100% | |
| Corporate Director | Feb 21, 2020 | 100% | |
| Vicrumdeep S Tung | W-2 Managing Employee | Jan 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Sun Valley, CA
- NPI 1891163499
W-2 Managing Employee
Practitioners & affiliated clinicians
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": "1584403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584403200000",
"number": "1376179846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524005",
"telephone_number": "818-484-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 SAN FERNANDO RD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524005",
"telephone_number": "818-484-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN VALLEY HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A",
"authorized_official_last_name": "HAKOBYAN",
"authorized_official_first_name": "NAREK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-484-0458"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Valley, CA
- Strength Based, a Licensed Clinical Social Worker Corporation
- Jakkrapong Suebshomphoo
- Sun Valley Emergency Physicians, PC
- Sun Valley Health Care Services, Inc
- Sun Valley Home Health Care Inc
- Sun Valley Medical Supplies Inc
- Sun Valley Rcfe
- Sun Valley Specialty Healthcare, Inc
- Sun Valley Urgent Care
- Sun Vida Medical Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.