Provider Demographics
NPI:1386218691
Name:UNRUFFLED HOSPICE, INC.
Entity Type:Organization
Organization Name:UNRUFFLED HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GYANDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-850-4770
Mailing Address - Street 1:10545 BURBANK BL.
Mailing Address - Street 2:SUITE 140
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2249
Mailing Address - Country:US
Mailing Address - Phone:818-850-4770
Mailing Address - Fax:818-688-3277
Practice Address - Street 1:10545 BURBANK BL.
Practice Address - Street 2:SUITE 140
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2249
Practice Address - Country:US
Practice Address - Phone:818-850-4770
Practice Address - Fax:818-688-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health