Provider Demographics
NPI:1619589991
Name:GRATIFIED HOSPICE CARE INC
Entity Type:Organization
Organization Name:GRATIFIED HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-245-4404
Mailing Address - Street 1:14545 FRIAR ST STE 202Z
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2398
Mailing Address - Country:US
Mailing Address - Phone:818-732-7900
Mailing Address - Fax:818-405-4949
Practice Address - Street 1:14545 FRIAR ST STE 202Z
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2398
Practice Address - Country:US
Practice Address - Phone:818-245-4404
Practice Address - Fax:818-405-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based