Provider Demographics
NPI:1518384056
Name:HEARTEN HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:HEARTEN HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-660-7428
Mailing Address - Street 1:12235 BEACH BLVD
Mailing Address - Street 2:SUITE 200-E
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3939
Mailing Address - Country:US
Mailing Address - Phone:714-660-7428
Mailing Address - Fax:714-660-7128
Practice Address - Street 1:12235 BEACH BLVD
Practice Address - Street 2:SUITE 200-E
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3939
Practice Address - Country:US
Practice Address - Phone:714-660-7428
Practice Address - Fax:714-660-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based