Provider Demographics
NPI:1366836488
Name:AAA HOSPICE CARE SOLUTIONS
Entity Type:Organization
Organization Name:AAA HOSPICE CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-347-7009
Mailing Address - Street 1:22148 SHERMAN WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1139
Mailing Address - Country:US
Mailing Address - Phone:818-347-7009
Mailing Address - Fax:818-347-7013
Practice Address - Street 1:22148 SHERMAN WAY
Practice Address - Street 2:SUITE 203
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1139
Practice Address - Country:US
Practice Address - Phone:818-347-7009
Practice Address - Fax:818-347-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based