Provider Demographics
NPI:1629326459
Name:AMERICAN GENERAL HOSPICE CARE INC
Entity Type:Organization
Organization Name:AMERICAN GENERAL HOSPICE CARE INC
Other - Org Name:AMGEN HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:818-785-8800
Mailing Address - Street 1:6909 RESEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4207
Mailing Address - Country:US
Mailing Address - Phone:818-785-8800
Mailing Address - Fax:818-785-8885
Practice Address - Street 1:6909 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4207
Practice Address - Country:US
Practice Address - Phone:818-785-8800
Practice Address - Fax:818-785-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based