Provider Demographics
NPI:1265015010
Name:COMPASS HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:COMPASS HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIRANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KORKOTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-240-6900
Mailing Address - Street 1:1412 W GLENOAKS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1994
Mailing Address - Country:US
Mailing Address - Phone:747-240-6900
Mailing Address - Fax:818-475-1785
Practice Address - Street 1:1412 W GLENOAKS BLVD STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1994
Practice Address - Country:US
Practice Address - Phone:747-240-6900
Practice Address - Fax:818-475-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based