Provider Demographics
NPI:1093135394
Name:PIONEER HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:PIONEER HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GAGIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKIASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-643-4358
Mailing Address - Street 1:6809 MAGNOLIA AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2862
Mailing Address - Country:US
Mailing Address - Phone:951-643-4358
Mailing Address - Fax:951-643-4698
Practice Address - Street 1:6809 MAGNOLIA AVE STE 2A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2862
Practice Address - Country:US
Practice Address - Phone:951-643-4358
Practice Address - Fax:951-643-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based