Provider Demographics
NPI:1285209031
Name:L.A'S SENIOR CARE HOSPICE
Entity Type:Organization
Organization Name:L.A'S SENIOR CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:MNATSAKANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-333-0720
Mailing Address - Street 1:4100 W ALAMEDA AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4153
Mailing Address - Country:US
Mailing Address - Phone:747-333-0720
Mailing Address - Fax:818-484-3878
Practice Address - Street 1:4100 W ALAMEDA AVE STE 309
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4153
Practice Address - Country:US
Practice Address - Phone:747-333-0720
Practice Address - Fax:818-484-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based