Provider Demographics
NPI:1528203312
Name:LIGHT DAYS HOSPICE, INC.
Entity Type:Organization
Organization Name:LIGHT DAYS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:KNYAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-240-8875
Mailing Address - Street 1:541 W COLORADO ST
Mailing Address - Street 2:STE 206
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-3638
Mailing Address - Country:US
Mailing Address - Phone:818-240-8875
Mailing Address - Fax:
Practice Address - Street 1:541 W COLORADO ST
Practice Address - Street 2:STE 206
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-3638
Practice Address - Country:US
Practice Address - Phone:818-240-8875
Practice Address - Fax:818-550-7554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001329251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based