Provider Demographics
NPI:1518500792
Name:EAST VALLEY HOSPICE, INC.
Entity Type:Organization
Organization Name:EAST VALLEY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARAKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASATRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-643-5050
Mailing Address - Street 1:5761 WHITNALL HWY STE D
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2101
Mailing Address - Country:US
Mailing Address - Phone:818-643-5050
Mailing Address - Fax:
Practice Address - Street 1:5761 WHITNALL HWY STE D
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2101
Practice Address - Country:US
Practice Address - Phone:818-643-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based