Provider Demographics
NPI:1003162199
Name:PEACE OF MIND HOSPICE, INC.
Entity Type:Organization
Organization Name:PEACE OF MIND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-988-8570
Mailing Address - Street 1:13743 VICTORY BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2316
Mailing Address - Country:US
Mailing Address - Phone:818-988-8570
Mailing Address - Fax:818-616-3484
Practice Address - Street 1:13743 VICTORY BLVD STE H
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2316
Practice Address - Country:US
Practice Address - Phone:818-988-8570
Practice Address - Fax:818-616-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based