Provider Demographics
NPI:1558759084
Name:VIVANI HOSPICE CARE,INC.
Entity Type:Organization
Organization Name:VIVANI HOSPICE CARE,INC.
Other - Org Name:VIVANI HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINOO
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDEHIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-658-1780
Mailing Address - Street 1:16661 VENTURA BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1923
Mailing Address - Country:US
Mailing Address - Phone:877-568-8870
Mailing Address - Fax:818-301-0272
Practice Address - Street 1:16661 VENTURA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1923
Practice Address - Country:US
Practice Address - Phone:877-568-8870
Practice Address - Fax:818-301-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based