Active NPI
Sunny Hospice Care Inc
- Community Based Hospice Care Agency
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 3916 Foothill Blvd
Ste C
La Crescenta, CA 91214-1677
Care Compare: Hospice
Medicare Care Compare- Listed as
- Sunny Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Jan 15, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nattapaun N Thepyasuwan | Contracted Managing Employee | Jan 15, 2024 | |
| W-2 Managing Employee | Jan 15, 2024 | ||
| Artashes Avagimyan | 5% Or Greater Direct Ownership Interest | Mar 12, 2020 | 100% |
| Corporate Officer | May 14, 2024 | 100% | |
| Corporate Director | May 14, 2024 | 100% | |
| W-2 Managing Employee | Jan 15, 2024 | 100% | |
| Operational/Managerial Control | Nov 15, 2021 | 100% | |
| Mariam Avagimyan | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1396050746
Contracted Managing Employee, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1396050746
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1396050746
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.