Provider Demographics
NPI:1013401959
Name:FAITH & LIFE HOSPICE INC
Entity Type:Organization
Organization Name:FAITH & LIFE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTOOMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-918-1589
Mailing Address - Street 1:356 W COLORADO ST STE C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1603
Mailing Address - Country:US
Mailing Address - Phone:818-918-1589
Mailing Address - Fax:323-417-4707
Practice Address - Street 1:356 W COLORADO ST STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1603
Practice Address - Country:US
Practice Address - Phone:818-918-1589
Practice Address - Fax:323-417-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based