Provider Demographics
NPI:1003424623
Name:NANA HOPE HOSPICE CENTER, LLC
Entity Type:Organization
Organization Name:NANA HOPE HOSPICE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-352-1667
Mailing Address - Street 1:1620 N 48TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7723
Mailing Address - Country:US
Mailing Address - Phone:480-352-1667
Mailing Address - Fax:
Practice Address - Street 1:1620 N 48TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-7723
Practice Address - Country:US
Practice Address - Phone:602-275-3019
Practice Address - Fax:602-275-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient