Provider Demographics
NPI:1689298325
Name:PNH HOSPICE GROUP
Entity Type:Organization
Organization Name:PNH HOSPICE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-666-2392
Mailing Address - Street 1:16909 PARTHENIA ST STE 301A
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4551
Mailing Address - Country:US
Mailing Address - Phone:310-666-2392
Mailing Address - Fax:818-484-2919
Practice Address - Street 1:16909 PARTHENIA ST STE 301A
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91343-4551
Practice Address - Country:US
Practice Address - Phone:310-666-2392
Practice Address - Fax:818-484-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based