Provider Demographics
NPI:1598342016
Name:NEXT LEVEL HOSPICE CARE
Entity Type:Organization
Organization Name:NEXT LEVEL HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IVET
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-275-0710
Mailing Address - Street 1:121 W WHITTIER BLVD STE 221
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3893
Mailing Address - Country:US
Mailing Address - Phone:818-275-0710
Mailing Address - Fax:
Practice Address - Street 1:121 W WHITTIER BLVD STE 221
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3893
Practice Address - Country:US
Practice Address - Phone:818-275-0710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based