Provider Demographics
NPI:1083015200
Name:IN GOOD HANDS HOSPICE, INC.
Entity Type:Organization
Organization Name:IN GOOD HANDS HOSPICE, INC.
Other - Org Name:IN GOOD HANDS HOSPICE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:
Authorized Official - Last Name:AYDEDJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-760-7164
Mailing Address - Street 1:6260 LAUREL CANYON BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3243
Mailing Address - Country:US
Mailing Address - Phone:818-760-7164
Mailing Address - Fax:818-760-7165
Practice Address - Street 1:12158 HAMLIN ST STE 3
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1433
Practice Address - Country:US
Practice Address - Phone:818-760-7164
Practice Address - Fax:818-960-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based