Provider Demographics
NPI:1164791349
Name:HOSPICE CARE ORGANIZATION, INC.
Entity Type:Organization
Organization Name:HOSPICE CARE ORGANIZATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIKAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-800-2942
Mailing Address - Street 1:644 W BROADWAY STE 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1026
Mailing Address - Country:US
Mailing Address - Phone:818-800-2942
Mailing Address - Fax:
Practice Address - Street 1:644 W BROADWAY STE 104
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1026
Practice Address - Country:US
Practice Address - Phone:818-800-2942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-18
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based