Provider Demographics
NPI:1629588033
Name:GOOD CHOICE HOSPICE CARE
Entity Type:Organization
Organization Name:GOOD CHOICE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MADATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-720-8288
Mailing Address - Street 1:17050 CHATSWORTH ST STE 223
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7818
Mailing Address - Country:US
Mailing Address - Phone:888-720-8288
Mailing Address - Fax:888-648-7688
Practice Address - Street 1:17050 CHATSWORTH ST STE 223
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7818
Practice Address - Country:US
Practice Address - Phone:888-720-8288
Practice Address - Fax:888-648-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based