Provider Demographics
NPI:1467849588
Name:EVERLAST HOSPICE CARE INC.
Entity Type:Organization
Organization Name:EVERLAST HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-426-9004
Mailing Address - Street 1:7080 N 19TH AVE
Mailing Address - Street 2:AP-4
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-8585
Mailing Address - Country:US
Mailing Address - Phone:480-426-9004
Mailing Address - Fax:480-447-1911
Practice Address - Street 1:7080 N 19TH AVE
Practice Address - Street 2:AP-4
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8585
Practice Address - Country:US
Practice Address - Phone:480-426-9004
Practice Address - Fax:480-447-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based