Provider Demographics
NPI:1326618752
Name:PURITY HOSPICE CARE INC
Entity Type:Organization
Organization Name:PURITY HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBARTSUM
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-484-0200
Mailing Address - Street 1:12631 IMPERIAL HWY STE E119
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-6761
Mailing Address - Country:US
Mailing Address - Phone:562-484-0200
Mailing Address - Fax:562-484-0222
Practice Address - Street 1:12631 IMPERIAL HWY STE E119
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-6761
Practice Address - Country:US
Practice Address - Phone:562-484-0200
Practice Address - Fax:562-484-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based