Provider Demographics
NPI:1003401092
Name:HOPEFUL HAVEN HOSPICE INC.
Entity Type:Organization
Organization Name:HOPEFUL HAVEN HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSMANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-751-0639
Mailing Address - Street 1:19000 STRATHERN ST
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-1123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10237 SEPULVEDA BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2639
Practice Address - Country:US
Practice Address - Phone:818-751-0639
Practice Address - Fax:818-751-0640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based