Provider Demographics
NPI:1346822921
Name:LANDMARK HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:LANDMARK HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-644-7505
Mailing Address - Street 1:1215 W IMPERIAL HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3734
Mailing Address - Country:US
Mailing Address - Phone:657-733-5373
Mailing Address - Fax:
Practice Address - Street 1:1215 W IMPERIAL HWY STE 102
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3734
Practice Address - Country:US
Practice Address - Phone:657-733-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based