Provider Demographics
NPI:1619559580
Name:LOYAL HANDS HOSPICE CARE INC
Entity Type:Organization
Organization Name:LOYAL HANDS HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TADEVOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-999-4993
Mailing Address - Street 1:7316 DEERING AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1503
Mailing Address - Country:US
Mailing Address - Phone:323-499-9499
Mailing Address - Fax:
Practice Address - Street 1:7316 DEERING AVE STE 201
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1503
Practice Address - Country:US
Practice Address - Phone:323-499-9499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based