Active NPI
Saunders Hospice,LLC
- Community Based Hospice Care Agency
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SAUNDERS HOSPICE,LLC
- Practice address
- 9017 Reseda Blvd
# 209
Northridge, CA 91324-3922 - Phone
- (818) 669-7609
- NPI assigned
- Jul 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Carmen Corder
- Title
- Contact Person
- Phone
- (323) 828-5658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9017 Reseda Blvd
# 209
Northridge, CA 91324-3922
Mailing address
9017 Reseda Blvd
# 209
Northridge, CA 91324-3922
Phone (818) 669-7609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181228001156 | CA | Part A Provider - Hospice | 2860737574 | Practice locations: Northridge, CA |
Hospice certification: CCN B51628
- Legal name
- SAUNDERS HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 14, 2022
- Last certification
- Nov 17, 2022
- Organization structure
- LLC
- Incorporated
- May 15, 2014 in CA
- Enrollment address
- 9017 Reseda Blvd
Ste 209
Northridge, CA 91324-3981
Care Compare: Hospice
Medicare Care Compare- Listed as
- Saunders Hospice, LLC
- Certified
- Dec 14, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2102200 | Saunders Hospice LLC | Certificate of waiver | Aug 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
9017 Reseda Blvd
Ste 209
Northridge, CA 91324
Phone (818) 669-7609
171 N Altadena Dr
Ste 220
Pasadena, CA 91107
Phone (626) 765-6399
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Anaid Matinyan | W-2 Managing Employee | Mar 1, 2024 | |
| Gemma D Labastida | Corporate Officer | Nov 6, 2018 | 100% |
| W-2 Managing Employee | Nov 6, 2018 | 100% | |
| Operational/Managerial Control | Nov 6, 2018 | 100% | |
| Jeffrey Shukhman | Contracted Managing Employee | Dec 1, 2023 | |
| Arbin Davtyan | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 50% |
| Corporate Officer | Mar 1, 2021 | 50% | |
| Corporate Director | Mar 1, 2021 | 50% | |
| W-2 Managing Employee | Mar 1, 2021 | 50% | |
| Arman Akopian | 5% Or Greater Direct Ownership Interest | Mar 1, 2021 | 50% |
| Corporate Officer | Mar 1, 2021 | 50% | |
| Corporate Director | Mar 1, 2021 | 50% | |
| W-2 Managing Employee | Mar 1, 2021 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Woodland Hills, CA
- NPI 1447593660
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1780090647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9017 RESEDA BLVD",
"address_2": "# 209",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243922",
"telephone_number": "818-669-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9017 RESEDA BLVD",
"address_2": "# 209",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243922",
"telephone_number": "818-669-7609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAUNDERS HOSPICE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "CORDER",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "CONTACT PERSON",
"authorized_official_telephone_number": "323-828-5658",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.