Provider Demographics
NPI:1598004863
Name:IMMEDIATE HOSPICE CARE
Entity Type:Organization
Organization Name:IMMEDIATE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INGA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-935-1687
Mailing Address - Street 1:14640 VICTORY BLVD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1623
Mailing Address - Country:US
Mailing Address - Phone:818-997-7633
Mailing Address - Fax:818-647-6400
Practice Address - Street 1:14640 VICTORY BLVD
Practice Address - Street 2:SUITE 224
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1623
Practice Address - Country:US
Practice Address - Phone:818-997-7633
Practice Address - Fax:818-647-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA810779251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based