Provider Demographics
NPI:1376117713
Name:GALAXY HOSPICE, INC.
Entity Type:Organization
Organization Name:GALAXY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOKHALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-987-5659
Mailing Address - Street 1:10545 BURBANK BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2246
Mailing Address - Country:US
Mailing Address - Phone:818-987-5659
Mailing Address - Fax:818-301-1978
Practice Address - Street 1:10545 BURBANK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2246
Practice Address - Country:US
Practice Address - Phone:818-987-5659
Practice Address - Fax:818-301-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based