Provider Demographics
NPI:1710553615
Name:TAKEKARE HOSPICE, INC.
Entity Type:Organization
Organization Name:TAKEKARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRBASHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-570-7477
Mailing Address - Street 1:18520 BURBANK BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6255
Mailing Address - Country:US
Mailing Address - Phone:818-570-7477
Mailing Address - Fax:818-647-0859
Practice Address - Street 1:18520 BURBANK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6255
Practice Address - Country:US
Practice Address - Phone:818-570-7477
Practice Address - Fax:818-647-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based