Provider Demographics
NPI:1124364336
Name:VIP HOSPICE CARE
Entity Type:Organization
Organization Name:VIP HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNIATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-205-9699
Mailing Address - Street 1:16200 VENTURA BLVD
Mailing Address - Street 2:STE 311
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2205
Mailing Address - Country:US
Mailing Address - Phone:818-205-9699
Mailing Address - Fax:818-205-9899
Practice Address - Street 1:16200 VENTURA BLVD
Practice Address - Street 2:STE 311
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2205
Practice Address - Country:US
Practice Address - Phone:818-205-9699
Practice Address - Fax:818-205-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based