Provider Demographics
NPI:1417357856
Name:GLENOAKS HOSPICE INC
Entity Type:Organization
Organization Name:GLENOAKS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NORIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOVSISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-561-4717
Mailing Address - Street 1:2003 W BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1318
Mailing Address - Country:US
Mailing Address - Phone:818-561-4717
Mailing Address - Fax:818-561-4631
Practice Address - Street 1:2003 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1318
Practice Address - Country:US
Practice Address - Phone:818-561-4717
Practice Address - Fax:818-561-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based