Provider Demographics
NPI:1093486623
Name:BLUE HARMONY HOSPICE, INC.
Entity Type:Organization
Organization Name:BLUE HARMONY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-645-7223
Mailing Address - Street 1:5300 SANTA MONICA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1258
Mailing Address - Country:US
Mailing Address - Phone:323-645-7223
Mailing Address - Fax:323-645-7226
Practice Address - Street 1:5300 SANTA MONICA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1258
Practice Address - Country:US
Practice Address - Phone:818-267-6529
Practice Address - Fax:323-645-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based