Provider Demographics
NPI:1326610353
Name:ALEXIS HOSPICE CARE INCORPORATED
Entity Type:Organization
Organization Name:ALEXIS HOSPICE CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAKINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-452-9115
Mailing Address - Street 1:5301 LAUREL CANYON BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2768
Mailing Address - Country:US
Mailing Address - Phone:818-452-9115
Mailing Address - Fax:818-452-9116
Practice Address - Street 1:5301 LAUREL CANYON BLVD STE 120
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2768
Practice Address - Country:US
Practice Address - Phone:818-452-9115
Practice Address - Fax:818-452-9116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based