Provider Demographics
NPI:1275006421
Name:DYNAMIC HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:DYNAMIC HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-233-0804
Mailing Address - Street 1:10319 NORRIS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-2220
Mailing Address - Country:US
Mailing Address - Phone:818-233-0804
Mailing Address - Fax:818-475-1392
Practice Address - Street 1:10319 NORRIS AVE STE C
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-2220
Practice Address - Country:US
Practice Address - Phone:818-233-0804
Practice Address - Fax:818-475-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based