Provider Demographics
NPI:1578923017
Name:AVIA HOSPICE,INC.
Entity Type:Organization
Organization Name:AVIA HOSPICE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NARGIZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-903-5306
Mailing Address - Street 1:6746 VALJEAN AVE
Mailing Address - Street 2:102A
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5848
Mailing Address - Country:US
Mailing Address - Phone:818-457-8726
Mailing Address - Fax:818-475-5123
Practice Address - Street 1:6746 VALJEAN AVE
Practice Address - Street 2:102A
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-5848
Practice Address - Country:US
Practice Address - Phone:818-457-8726
Practice Address - Fax:818-475-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002528251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based