Provider Demographics
NPI:1093146672
Name:EMANUEL HOSPICE INC
Entity Type:Organization
Organization Name:EMANUEL HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-465-3099
Mailing Address - Street 1:6931 VAN NUYS BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3996
Mailing Address - Country:US
Mailing Address - Phone:818-465-3099
Mailing Address - Fax:818-465-3389
Practice Address - Street 1:6931 VAN NUYS BLVD STE 206
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3996
Practice Address - Country:US
Practice Address - Phone:818-465-3099
Practice Address - Fax:818-465-3389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health