Provider Demographics
NPI:1033651096
Name:LIGHT ANGEL HOSPICE INC.
Entity Type:Organization
Organization Name:LIGHT ANGEL HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-208-4477
Mailing Address - Street 1:7034 VAN NUYS BLVD
Mailing Address - Street 2:# 202
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7034 VAN NUYS BLVD
Practice Address - Street 2:# 202
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3060
Practice Address - Country:US
Practice Address - Phone:747-208-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health