Provider Demographics
NPI:1326162116
Name:BURBANK HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:BURBANK HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-260-9718
Mailing Address - Street 1:217 E. ALAMEDA AVE
Mailing Address - Street 2:# 205
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1500
Mailing Address - Country:US
Mailing Address - Phone:818-260-9718
Mailing Address - Fax:818-260-9803
Practice Address - Street 1:217 E. ALAMEDA AVE
Practice Address - Street 2:# 205
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1500
Practice Address - Country:US
Practice Address - Phone:818-260-9718
Practice Address - Fax:818-260-9803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1367239Medicaid
CA1367239Medicaid