Provider Demographics
NPI:1467100941
Name:CAPITAL HEALTH HOSPICE INC
Entity Type:Organization
Organization Name:CAPITAL HEALTH HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBARTSUMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-297-4002
Mailing Address - Street 1:13201 N 35TH AVE STE B4-5
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1222
Mailing Address - Country:US
Mailing Address - Phone:747-297-4002
Mailing Address - Fax:747-313-6206
Practice Address - Street 1:13201 N 35TH AVE STE B4-5
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1222
Practice Address - Country:US
Practice Address - Phone:747-297-4002
Practice Address - Fax:747-313-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based