Provider Demographics
NPI:1346637311
Name:VANGUARD HOSPICE, INC.
Entity Type:Organization
Organization Name:VANGUARD HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AREJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-392-8838
Mailing Address - Street 1:11350 VENTURA BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11350 VENTURA BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3140
Practice Address - Country:US
Practice Address - Phone:818-392-8838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based