Provider Demographics
NPI:1164859708
Name:ALEVE HOSPICE CARE OF LOS ANGELES,INC.
Entity Type:Organization
Organization Name:ALEVE HOSPICE CARE OF LOS ANGELES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHANNES
Authorized Official - Middle Name:JOHNNY
Authorized Official - Last Name:TOPAJEKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BC
Authorized Official - Phone:213-700-1787
Mailing Address - Street 1:5121 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1496
Mailing Address - Country:US
Mailing Address - Phone:818-891-1000
Mailing Address - Fax:818-891-1005
Practice Address - Street 1:5121 VAN NUYS BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1496
Practice Address - Country:US
Practice Address - Phone:818-891-1000
Practice Address - Fax:818-891-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA921523OtherMEDI-CAL
CA921523Medicaid
CA921523OtherMEDI-CAL