Provider Demographics
NPI:1265858724
Name:EVERLOVING HOSPICE, INC.
Entity Type:Organization
Organization Name:EVERLOVING HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOROUDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-479-7777
Mailing Address - Street 1:6930 OWENSMOUTH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2098
Mailing Address - Country:US
Mailing Address - Phone:818-479-7777
Mailing Address - Fax:800-211-4306
Practice Address - Street 1:6930 OWENSMOUTH AVE STE 202
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2098
Practice Address - Country:US
Practice Address - Phone:818-479-7777
Practice Address - Fax:800-211-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-08
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based