Provider Demographics
NPI:1093972853
Name:FAMILY HOSPICE SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY HOSPICE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-502-0645
Mailing Address - Street 1:644 W BROADWAY
Mailing Address - Street 2:STE 106
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1026
Mailing Address - Country:US
Mailing Address - Phone:818-502-0645
Mailing Address - Fax:818-502-0659
Practice Address - Street 1:644 W BROADWAY
Practice Address - Street 2:STE 106
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1026
Practice Address - Country:US
Practice Address - Phone:818-502-0645
Practice Address - Fax:818-502-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based