Provider Demographics
NPI:1457026445
Name:MERCIFULOVE HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:MERCIFULOVE HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BAKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-788-4050
Mailing Address - Street 1:14429 VENTURA BLVD STE 106C
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2646
Mailing Address - Country:US
Mailing Address - Phone:747-788-4050
Mailing Address - Fax:747-788-4051
Practice Address - Street 1:14429 VENTURA BLVD STE 106C
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2646
Practice Address - Country:US
Practice Address - Phone:747-788-4050
Practice Address - Fax:747-788-4051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based