Organization Active NPI

Sun Valley Hospice Inc

  • Community Based Hospice Care Agency
  • Sun Valley, CA
National Provider Identifier
1376179846
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 17, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
8135 San Fernando Rd
Sun Valley, CA 91352-4005

Care Compare: Hospice

Medicare Care Compare
Listed as
Sun Valley Hospice, IncCCN B51582
Certified
Sep 14, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hovhannes Mkrtchyan Individual W-2 Managing EmployeeDPCS Feb 27, 2020
Novemik Ter-Abramian Individual W-2 Managing EmployeeAd; Jan 1, 2024
Narek Hakobyan Individual 5% Or Greater Direct Ownership InterestPresident Feb 21, 2020 100%
Corporate OfficerCeo Feb 21, 2020 100%
Corporate Director Feb 21, 2020 100%
Vicrumdeep S Tung Individual W-2 Managing EmployeeMD; 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.

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

Sources for this page

Verify at the official NPI Registry.