Provider Demographics
NPI:1558973446
Name:ELEGANT HOSPICE CARE
Entity Type:Organization
Organization Name:ELEGANT HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANUSHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-207-7474
Mailing Address - Street 1:4869 TOPANGA CANYON BLVD STE 11
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4261
Mailing Address - Country:US
Mailing Address - Phone:747-207-7474
Mailing Address - Fax:747-207-7373
Practice Address - Street 1:4869 TOPANGA CANYON BLVD STE 11
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4261
Practice Address - Country:US
Practice Address - Phone:747-207-7474
Practice Address - Fax:747-207-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based