Provider Demographics
NPI:1144569617
Name:JOURNEY HOSPICE SERVICES, INC
Entity Type:Organization
Organization Name:JOURNEY HOSPICE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDVARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-558-4300
Mailing Address - Street 1:333 S FRONT ST
Mailing Address - Street 2:STE 203
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1956
Mailing Address - Country:US
Mailing Address - Phone:818-558-4300
Mailing Address - Fax:818-558-4301
Practice Address - Street 1:333 S FRONT ST
Practice Address - Street 2:STE 203
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1956
Practice Address - Country:US
Practice Address - Phone:818-558-4300
Practice Address - Fax:818-558-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based