Provider Demographics
NPI:1285192690
Name:COMMUNITY CARE HOSPICE,INC.
Entity Type:Organization
Organization Name:COMMUNITY CARE HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ZARA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALBANDYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-616-4956
Mailing Address - Street 1:13629 1/2 VICTORY BLVD.
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401
Mailing Address - Country:US
Mailing Address - Phone:818-616-4956
Mailing Address - Fax:818-908-9099
Practice Address - Street 1:13629 1/2 VICTORY BLVD.
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401
Practice Address - Country:US
Practice Address - Phone:818-616-4956
Practice Address - Fax:818-908-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based