North Valley Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NORTH VALLEY HOSPICE INC.

Practice address

15455 San Fernando Mission Blvd Ste 103a
Mission Hills, CA 91345-1342

Phone

(818) 967-9255

Fax

(818) 450-0116

NPI assigned

Jul 7, 2020

Last updated

Feb 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oganes Samsonyan

Title

Cfo

Phone

(818) 967-9255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497373468. Details of each certification follow.

• CCN B41569 Hospice · Active · Details

Hospice certification: CCN B41569

Legal name

NORTH VALLEY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 20, 2022

Last certification

Mar 20, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

15455 San Fernando Blvd
Suite 103a
Mission Hills, CA 91345-1342

Listed as

North Valley Hospice, IncCCN B41569 · All quality measures

Certified

Mar 20, 2022

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": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1497373468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 SAN FERNANDO MISSION BLVD STE 103A",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451342",
            "telephone_number": "818-967-9255",
            "fax_number": "818-450-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 SAN FERNANDO MISSION BLVD STE 103A",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451342",
            "telephone_number": "818-967-9255",
            "fax_number": "818-450-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "SAMSONYAN",
        "authorized_official_first_name": "OGANES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-967-9255"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)

• Community Based Hospice Care Agency in Mission Hills, CA
• Providers in Mission 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 Feb 23, 2024; 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.