Provider Demographics
NPI:1013586619
Name:CALIWAY HOSPICE CARE
Entity Type:Organization
Organization Name:CALIWAY HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:GEVORGI
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-802-0609
Mailing Address - Street 1:811 WILSHIRE BLVD STE 1716
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2630
Mailing Address - Country:US
Mailing Address - Phone:213-802-0609
Mailing Address - Fax:
Practice Address - Street 1:811 WILSHIRE BLVD STE 1716
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2630
Practice Address - Country:US
Practice Address - Phone:213-802-0609
Practice Address - Fax:213-600-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based