Provider Demographics
NPI:1083209316
Name:ALL VALLEY HOSPICE CARE, INC
Entity Type:Organization
Organization Name:ALL VALLEY HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREISDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-274-6577
Mailing Address - Street 1:16909 PARTHENIA ST STE 102B
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4583
Mailing Address - Country:US
Mailing Address - Phone:818-274-6577
Mailing Address - Fax:626-210-2851
Practice Address - Street 1:16909 PARTHENIA ST STE 102B
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91343-4583
Practice Address - Country:US
Practice Address - Phone:818-274-6577
Practice Address - Fax:626-210-2851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based