Organization Active NPI

Holy Saver Hospice, Inc.

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
National Provider Identifier
1881099497
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 24, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 921624 · All quality measures
Ownership
For-Profit
Certified
Mar 14, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gohar Gevorgyan Individual Corporate DirectorMD Jun 14, 2018
W-2 Managing EmployeeMD Jun 14, 2018
Armenui Sarkisian Individual Corporate DirectorDirector of Nursing Designee Apr 20, 2021
Dina Agazaryan Individual Corporate DirectorDPCS Jun 14, 2018
W-2 Managing EmployeeDPCS Jun 14, 2018
Tigalat Shalita Individual Contracted Managing EmployeeMD Jun 1, 2022
Susanna Chirishian Individual 5% Or Greater Direct Ownership InterestCeo Jun 14, 2018 100%
Corporate OfficerCeo Jun 14, 2018 100%
W-2 Managing EmployeeCeo 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.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.