Provider Demographics
NPI:1407461643
Name:KIND HEARTS HOSPICE, INC.
Entity Type:Organization
Organization Name:KIND HEARTS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KHACHATUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-689-7164
Mailing Address - Street 1:10210 N 32ND ST STE 215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3848
Mailing Address - Country:US
Mailing Address - Phone:602-953-4875
Mailing Address - Fax:480-573-8595
Practice Address - Street 1:10210 N 32ND ST STE 215
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3848
Practice Address - Country:US
Practice Address - Phone:602-953-4875
Practice Address - Fax:480-573-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based