Provider Demographics
NPI:1063817096
Name:VALLEY OAKS HOSPICE, INC
Entity Type:Organization
Organization Name:VALLEY OAKS HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-593-5166
Mailing Address - Street 1:560 W 1ST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3005
Mailing Address - Country:US
Mailing Address - Phone:626-593-5166
Mailing Address - Fax:626-593-5690
Practice Address - Street 1:560 W 1ST ST STE 3
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3005
Practice Address - Country:US
Practice Address - Phone:626-593-5166
Practice Address - Fax:626-593-5690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based