Provider Demographics
NPI:1154088573
Name:ABOVYAN HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:ABOVYAN HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO/CFO/SEC/BM
Authorized Official - Phone:747-214-7545
Mailing Address - Street 1:936 W AVENUE J4 STE 103B
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4246
Mailing Address - Country:US
Mailing Address - Phone:747-214-7545
Mailing Address - Fax:818-475-1785
Practice Address - Street 1:936 W AVENUE J4 STE 103B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4246
Practice Address - Country:US
Practice Address - Phone:747-214-7545
Practice Address - Fax:818-475-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based