SK Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SK HOSPICE SERVICES, INC.

Practice address

1241 S Glendale Ave Ste 101B
Glendale, CA 91205-3388

Phone

(818) 740-1821

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Sahak Keshishyan

Title

Ceo

Phone

(818) 740-1821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21504

Legal name

SK HOSPICE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 5, 2021

Last certification

Feb 5, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 6, 2019 in CA

Enrollment address

1241 S Glendale Ave
Ste 101B
Glendale, CA 91205-3388

Listed as

SK Hospice Services, Inc.CCN B21504

Ownership

For-Profit

Certified

Feb 5, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1972149235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 101B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE STE 101B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053388",
            "telephone_number": "818-740-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "KESHISHYAN",
        "authorized_official_first_name": "SAHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-740-1821"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.

Verify at the official NPI Registry.