Organization Active NPI

Sunland Hospice Care Inc

  • Community Based Hospice Care Agency
  • Sunland, CA
National Provider Identifier
1881219368
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNLAND HOSPICE CARE INC
Practice address
8823 Fenwick St
Sunland, CA 91040-1903
Phone
(818) 484-0458
NPI assigned
Jun 10, 2020
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Narek Hakobyan
Title
Ceo
Phone
(818) 484-0458

Specialties & licenses 1

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

Addresses

Primary practice location

8823 Fenwick St
Sunland, CA 91040-1903

Mailing address

8823 Fenwick St
Sunland, CA 91040-1903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629000830 CA Part A Provider - Hospice 6709287717 Practice locations: Sun Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881219368. Details of each certification follow.

Hospice certification: CCN B51772

Legal name
SUNLAND HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 26, 2023
Last certification
Jun 14, 2023
Organization structure
CorporationProprietary
Enrollment address
8133 San Fernando Rd
Ste 6
Sun Valley, CA 91352-4064

Care Compare: Hospice

Medicare Care Compare
Listed as
Sunland Hospice Care IncCCN B51772 · All quality measures
Certified
Aug 26, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8133 San Fernando Rd
Ste 6
Sun Valley, CA 91352
Phone (818) 484-0558

8823 Fenwick St
Sunland, CA 91040
Phone (818) 484-0458

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hovhannes Mkrtchyan Individual W-2 Managing EmployeeDPCS Jun 1, 2021
Novemik Ter-Abramian Individual Contracted Managing EmployeeAd;DPCS Sep 1, 2022
Narek Hakobyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 4, 2020 100%
Corporate OfficerCfo Jun 4, 2020 100%
Corporate Director Jun 4, 2020 100%
Vicrumdeep S Tung Individual Contracted Managing EmployeeMD; Dec 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1881219368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 FENWICK ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 FENWICK ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401903",
            "telephone_number": "818-484-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-484-0458"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

Verify at the official NPI Registry.