Provider Demographics
NPI:1699024331
Name:ARARAT HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:ARARAT HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GOHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORGYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-396-9000
Mailing Address - Street 1:3535 SAN DIMAS STREET
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1695
Mailing Address - Country:US
Mailing Address - Phone:661-444-0871
Mailing Address - Fax:661-427-0240
Practice Address - Street 1:3535 SAN DIMAS STREET
Practice Address - Street 2:SUITE 12
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1695
Practice Address - Country:US
Practice Address - Phone:661-444-0871
Practice Address - Fax:661-427-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based