Provider Demographics
NPI:1275959512
Name:DAYLIGHT HOSPICE, INC.
Entity Type:Organization
Organization Name:DAYLIGHT HOSPICE, INC.
Other - Org Name:DAYLIGHT HOSPICE CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADZHAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-962-2255
Mailing Address - Street 1:17547 VENTURA BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3854
Mailing Address - Country:US
Mailing Address - Phone:818-962-2255
Mailing Address - Fax:
Practice Address - Street 1:17547 VENTURA BLVD STE 107
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3854
Practice Address - Country:US
Practice Address - Phone:818-962-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based