Provider Demographics
NPI:1164002267
Name:HAAB HOSPICE CARE INC
Entity Type:Organization
Organization Name:HAAB HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-877-2186
Mailing Address - Street 1:1800 BROADVIEW DR STE 270-G
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208
Mailing Address - Country:US
Mailing Address - Phone:747-877-2186
Mailing Address - Fax:747-877-2187
Practice Address - Street 1:1800 BROADVIEW DR STE 270-G
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208
Practice Address - Country:US
Practice Address - Phone:747-877-2186
Practice Address - Fax:747-877-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based