Provider Demographics
NPI:1093336414
Name:LOVING HANDS HOSPICE
Entity Type:Organization
Organization Name:LOVING HANDS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASTRIK
Authorized Official - Middle Name:
Authorized Official - Last Name:IVANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-203-0016
Mailing Address - Street 1:401 N BRAND BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4443
Mailing Address - Country:US
Mailing Address - Phone:747-203-0016
Mailing Address - Fax:
Practice Address - Street 1:401 N BRAND BLVD STE 230
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4443
Practice Address - Country:US
Practice Address - Phone:747-203-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based