Provider Demographics
NPI:1346515764
Name:GLADHEARTS SENIOR SERVICES
Entity Type:Organization
Organization Name:GLADHEARTS SENIOR SERVICES
Other - Org Name:VISITING ANGELS LIVING ASSISTANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:818-549-1400
Mailing Address - Street 1:1117 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1315
Mailing Address - Country:US
Mailing Address - Phone:818-549-1400
Mailing Address - Fax:818-549-0357
Practice Address - Street 1:1117 E BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1315
Practice Address - Country:US
Practice Address - Phone:818-549-1400
Practice Address - Fax:818-549-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health