Provider Demographics
NPI:1427397140
Name:HOLY CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:HOLY CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEZALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-970-1119
Mailing Address - Street 1:13758 VICTORY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2319
Mailing Address - Country:US
Mailing Address - Phone:818-786-1600
Mailing Address - Fax:
Practice Address - Street 1:13758 VICTORY BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401
Practice Address - Country:US
Practice Address - Phone:818-786-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based