Organization Active NPI

SS Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Chatsworth, CA
National Provider Identifier
1720674989
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SS HOSPICE CARE, INC
Practice address
21405 Devonshire St Ste 225
Chatsworth, CA 91311-2942
Phone
(747) 755-5151
Fax
(747) 246-5855
NPI assigned
Dec 11, 2020
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Syuzanna PetrosyanNPI 1326768573
Title
Ceo
Phone
(747) 755-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

21405 Devonshire St Ste 225
Chatsworth, CA 91311-2942

Mailing address

8622 Reseda Blvd Ste 206
Northridge, CA 91324-4096
Phone (747) 755-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815000985 CA Part A Provider - Hospice 1557744133 Practice locations: Chatsworth, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720674989. Details of each certification follow.

Hospice certification: CCN B51724

Legal name
SS HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 25, 2023
Last certification
Feb 10, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 14, 2019 in CA
Enrollment address
21405 Devonshire St
Ste 225
Chatsworth, CA 91311-2942

Care Compare: Hospice

Medicare Care Compare
Listed as
SS Hospice Care, Inc.CCN B51724 · All quality measures
Certified
Feb 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2313670SS Hospice Care, Inc21405 Devonshire St, Suite 225, Chatsworth, CA 91311Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

21405 Devonshire St
Ste 225
Chatsworth, CA 91311
Phone (747) 755-5151

8622 Reseda Blvd
Ste 206
Northridge, CA 91324
Phone (747) 755-5151

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Darrin D Luu Individual Contracted Managing EmployeeMD; Sep 9, 2024
Syuzanna Petrosyan Individual 5% Or Greater Direct Ownership InterestOwner Oct 14, 2019 100%
Corporate OfficerOwner/Ceo/Cfo/Secretary Oct 14, 2019 100%
Corporate DirectorOwner/Ceo/Cfo/Secretary Oct 14, 2019 100%
Nataliya Neminova Individual W-2 Managing EmployeeDPCS Sep 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1720674989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 RESEDA BLVD STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244096",
            "telephone_number": "747-755-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21405 DEVONSHIRE ST STE 225",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112942",
            "telephone_number": "747-755-5151",
            "fax_number": "747-246-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-755-5151"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.