Active NPI
Holy Saver Hospice, Inc.
- Community Based Hospice Care Agency
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOLY SAVER HOSPICE, INC.
- Practice address
- 14011 Ventura Blvd Ste 405E
Sherman Oaks, CA 91423-3533 - Phone
- (818) 666-3534
- Fax
- (818) 237-3191
- NPI assigned
- Oct 24, 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
- Susanna Chirishian
- Title
- Ceo
- Phone
- (818) 666-3534
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
14011 Ventura Blvd Ste 405E
Sherman Oaks, CA 91423-3533
Mailing address
14011 Ventura Blvd Ste 405E
Sherman Oaks, CA 91423-3533
Phone (818) 666-3534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150109000329 | CA | Part A Provider - Hospice | 7719201201 | Practice locations: Sherman Oaks, CA |
Hospice certification: CCN 921624
- Legal name
- HOLY SAVER HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 14, 2017
- Last certification
- Dec 5, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 9, 2014 in CA
- Enrollment address
- 14011 Ventura Blvd
Ste 405E
Sherman Oaks, CA 91423-3533
Care Compare: Hospice
Medicare Care Compare- Listed as
- Holy Saver Hospice Inc
- Ownership
- For-Profit
- Certified
- Mar 14, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
14011 Ventura Blvd
Ste 405E
Sherman Oaks, CA 91423
Phone (818) 666-3534
13615 Victory Blvd
Ste 217
Van Nuys, CA 91401
Phone (800) 988-1985
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 |
|---|---|---|---|
| Gohar Gevorgyan | Corporate Director | Jun 14, 2018 | |
| W-2 Managing Employee | Jun 14, 2018 | ||
| Armenui Sarkisian | Corporate Director | Apr 20, 2021 | |
| Dina Agazaryan | Corporate Director | Jun 14, 2018 | |
| W-2 Managing Employee | Jun 14, 2018 | ||
| Tigalat Shalita | Contracted Managing Employee | Jun 1, 2022 | |
| Susanna Chirishian | 5% Or Greater Direct Ownership Interest | Jun 14, 2018 | 100% |
| Corporate Officer | Jun 14, 2018 | 100% | |
| W-2 Managing Employee | Jun 14, 2018 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1619107083
Corporate Director, W-2 Managing Employee
-
- Family Medicine Physician
- West Hills, CA
- NPI 1205852316
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Pasadena, CA
- NPI 1235460510
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1881099497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14011 VENTURA BLVD STE 405E",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233533",
"telephone_number": "818-666-3534",
"fax_number": "818-237-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14011 VENTURA BLVD STE 405E",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233533",
"telephone_number": "818-666-3534",
"fax_number": "818-237-3191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY SAVER HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "CHIRISHIAN",
"authorized_official_first_name": "SUSANNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-666-3534"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.