Provider Demographics
NPI:1396186441
Name:PREFERRED CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:PREFERRED CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:AYKANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALADZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-837-1000
Mailing Address - Street 1:11565 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE #202
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4168
Mailing Address - Country:US
Mailing Address - Phone:818-837-1000
Mailing Address - Fax:818-837-1003
Practice Address - Street 1:11565 LAUREL CANYON BLVD
Practice Address - Street 2:SUITE #202
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4168
Practice Address - Country:US
Practice Address - Phone:818-837-1000
Practice Address - Fax:818-837-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based