Provider Demographics
NPI:1114593381
Name:HOLLISTIC HOSPICE SERVICES, INC
Entity Type:Organization
Organization Name:HOLLISTIC HOSPICE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-736-1151
Mailing Address - Street 1:5924 E LOS ANGELES AVE STE W #B
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5526
Mailing Address - Country:US
Mailing Address - Phone:818-736-1151
Mailing Address - Fax:888-512-1287
Practice Address - Street 1:5924 E LOS ANGELES AVE STE W #B
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5526
Practice Address - Country:US
Practice Address - Phone:818-736-1151
Practice Address - Fax:888-512-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based