Provider Demographics
NPI:1699197400
Name:LUXE HOSPICE, INC.
Entity Type:Organization
Organization Name:LUXE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEYEDEH
Authorized Official - Middle Name:Z
Authorized Official - Last Name:VAHDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-699-5885
Mailing Address - Street 1:881 ALMA REAL DR
Mailing Address - Street 2:SUITE T9B
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3731
Mailing Address - Country:US
Mailing Address - Phone:310-699-5885
Mailing Address - Fax:
Practice Address - Street 1:881 ALMA REAL DR
Practice Address - Street 2:SUITE T9B
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3731
Practice Address - Country:US
Practice Address - Phone:310-699-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based