Provider Demographics
NPI:1326403163
Name:CENTRAL HOSPICE, INC.
Entity Type:Organization
Organization Name:CENTRAL HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:DANA
Authorized Official - Last Name:HAYRAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-951-8400
Mailing Address - Street 1:1110 SONORA AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-3171
Mailing Address - Country:US
Mailing Address - Phone:818-951-8400
Mailing Address - Fax:818-951-8404
Practice Address - Street 1:1110 SONORA AVE STE 212
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-3171
Practice Address - Country:US
Practice Address - Phone:818-951-8400
Practice Address - Fax:818-951-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based