Silver Sky Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SILVER SKY HOSPICE, INC.

Practice address

6850 Van Nuys Blvd Ste 303
Van Nuys, CA 91405-4629

Phone

(818) 290-3208

Fax

(818) 290-3466

NPI assigned

Jul 30, 2019

Organization subpart

No

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

Authorized official

Name

Maricris Motecillos Soria, LVN

Title

Ceo

Phone

(818) 422-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11619

Legal name

SILVER SKY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 25, 2020

Last certification

Aug 25, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 23, 2019 in CA

Enrollment address

20121 Ventura Blvd
Ste 309
Woodland Hills, CA 91364-2559

Listed as

Silver Sky Hospice, Inc.CCN A11619

Ownership

For-Profit

Certified

Aug 25, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lilit Kyurumyan

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1760101836
  NPD (past)

Affiliated clinicians 1

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

• Mark Noel Samonte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson, CA
  • NPI 1114140233

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649548800000",
    "number": "1407400351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD STE 303",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054629",
            "telephone_number": "818-290-3208",
            "fax_number": "818-290-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VAN NUYS BLVD STE 303",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054629",
            "telephone_number": "818-290-3208",
            "fax_number": "818-290-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SKY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "SORIA",
        "authorized_official_first_name": "MARICRIS",
        "authorized_official_middle_name": "MOTECILLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-422-0460",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertina NMN Silva, D.D.S.
• Anthony Ariel Silva, D.C.
• Lyzette Silva
• Rosalie Silva
• Silver Age None-Emergency Medical Transportation
• Silver Strand Care, LLC
• Silver Wing Home Health Care
• Barbara Ellen Silverberg, MA MFT INTERN
• Silverlightcare, Inc
• Silverlightcare, Inc

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Apr 10, 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.