Provider Demographics
NPI:1639848518
Name:VERDUGO HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:VERDUGO HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IVETA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:818-480-3240
Mailing Address - Street 1:401 N BRAND BLVD UNIT L103A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4427
Mailing Address - Country:US
Mailing Address - Phone:818-480-3240
Mailing Address - Fax:800-947-0392
Practice Address - Street 1:401 N BRAND BLVD UNIT L103A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4427
Practice Address - Country:US
Practice Address - Phone:818-480-3240
Practice Address - Fax:800-947-0392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based