Valley Serenity Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VALLEY SERENITY HOSPICE CARE, INC.

Practice address

14416 Hamlin St Ste 205
Van Nuys, CA 91401-1488

Phone

(747) 301-3011

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By 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

Hambardzum Simonyan

Title

Ceo

Phone

(747) 301-3011

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 1629671029. Details of each certification follow.

• CCN B51546 Hospice · Active · Details

Hospice certification: CCN B51546

Legal name

VALLEY SERENITY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 17, 2022

Last certification

Aug 17, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

14416 Hamlin St
Ste 205
Van Nuys, CA 91401-1488

Listed as

Valley Serenity Hospice Care, IncCCN B51546 · All quality measures

Certified

Aug 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Soumitra Sarkar, M.D.

  • Internal Medicine Physician
  • Montebello, CA
  • NPI 1578573010

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Soumitra Sarkar, M.D.

  • Internal Medicine Physician
  • Montebello, CA
  • NPI 1578573010

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1629671029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14416 HAMLIN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011488",
            "telephone_number": "747-301-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 HAMLIN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011488",
            "telephone_number": "747-301-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SERENITY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "HAMBARDZUM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-301-3011"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valley Presbyterian Emergency Medical Associates, Inc.
• Valley Presbyterian Hospital
• Valley Side Hospice, Inc.
• Valley Surgery Center, Inc.
• Valley Vascular Associates, Inc
• Valley View Home Health Care
• Valley's Best Homecare, 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 Nov 18, 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.

Verify at the official NPI Registry.