Provider Demographics
NPI:1558808683
Name:ARIA HOSPICE, INC.
Entity Type:Organization
Organization Name:ARIA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTEMCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-791-3155
Mailing Address - Street 1:2139 TAPO ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3478
Mailing Address - Country:US
Mailing Address - Phone:805-791-3155
Mailing Address - Fax:805-823-4147
Practice Address - Street 1:2139 TAPO ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3478
Practice Address - Country:US
Practice Address - Phone:805-791-3155
Practice Address - Fax:805-823-4147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based