Provider Demographics
NPI:1275157273
Name:FAMILY CHOICE HOSPICE CARE
Entity Type:Organization
Organization Name:FAMILY CHOICE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-620-0618
Mailing Address - Street 1:16909 PARTHENIA ST STE 204A
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4551
Mailing Address - Country:US
Mailing Address - Phone:818-620-0618
Mailing Address - Fax:818-484-2919
Practice Address - Street 1:16909 PARTHENIA ST STE 204A
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91343-4551
Practice Address - Country:US
Practice Address - Phone:818-620-0618
Practice Address - Fax:818-484-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based