Provider Demographics
NPI:1083200943
Name:EDEN HOSPICE INC
Entity Type:Organization
Organization Name:EDEN HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOURABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-829-0288
Mailing Address - Street 1:25 WHEELER AVE STE M
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3208
Mailing Address - Country:US
Mailing Address - Phone:626-829-0288
Mailing Address - Fax:
Practice Address - Street 1:25 WHEELER AVE STE M
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3208
Practice Address - Country:US
Practice Address - Phone:626-829-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based