Provider Demographics
NPI:1598044075
Name:PASADENA HOSPICE CARE, INC
Entity Type:Organization
Organization Name:PASADENA HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARTEMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AVANESIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-317-9310
Mailing Address - Street 1:3829 E SIERRA MADRE BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1948
Mailing Address - Country:US
Mailing Address - Phone:626-351-8200
Mailing Address - Fax:626-351-9200
Practice Address - Street 1:3829 E SIERRA MADRE BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1948
Practice Address - Country:US
Practice Address - Phone:626-351-8200
Practice Address - Fax:626-351-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based