Organization Active NPI

Sunny Hospice Care Inc

  • Community Based Hospice Care Agency
  • La Crescenta, CA
National Provider Identifier
1831725027
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNNY HOSPICE CARE INC
Practice address
3916 Foothill Blvd Ste C
La Crescenta, CA 91214-1677
Phone
(747) 255-7157
Fax
(747) 255-7357
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Artashes Avagimyan
Title
Ceo
Phone
(818) 582-3019

Specialties & licenses 1

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

Addresses

Primary practice location

3916 Foothill Blvd Ste C
La Crescenta, CA 91214-1677

Mailing address

3916 Foothill Blvd Ste C
La Crescenta, CA 91214-1677
Phone (747) 255-7157

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210109000001 CA Part A Provider - Hospice 7012320195 Practice locations: La Crescenta, CA

Hospice certification: CCN A11724

Legal name
SUNNY HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 15, 2021
Last certification
Jan 15, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
3916 Foothill Blvd
Ste C
La Crescenta, CA 91214-1677

Care Compare: Hospice

Medicare Care Compare
Listed as
Sunny Hospice Care, IncCCN A11724
Ownership
For-Profit
Certified
Jan 15, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3916 Foothill Blvd
Ste C
La Crescenta, CA 91214
Phone (747) 255-7157

7502 Foothill Blvd
Ste 203A
Tujunga, CA 91042
Phone (818) 582-3019

14545 Friar St
#264
Van Nuys, CA 91411

14545 Friar St
Ste 264
Van Nuys, CA 91411
Phone (818) 582-3019

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
Nattapaun N Thepyasuwan Individual Contracted Managing Employee Jan 15, 2024
W-2 Managing EmployeeMD; Jan 15, 2024
Artashes Avagimyan Individual 5% Or Greater Direct Ownership Interest Mar 12, 2020 100%
Corporate OfficerCeo May 14, 2024 100%
Corporate DirectorCeo May 14, 2024 100%
W-2 Managing EmployeeAd;Ceo Jan 15, 2024 100%
Operational/Managerial ControlCeo Nov 15, 2021 100%
Mariam Avagimyan Individual W-2 Managing EmployeeDPSC Jan 15, 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.

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": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1831725027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 FOOTHILL BLVD STE C",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141677",
            "telephone_number": "747-255-7157",
            "fax_number": "747-255-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 FOOTHILL BLVD STE C",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141677",
            "telephone_number": "747-255-7157",
            "fax_number": "747-255-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "AVAGIMYAN",
        "authorized_official_first_name": "ARTASHES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-582-3019"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.