Provider Demographics
NPI:1710555271
Name:HCJ HOSPICE, INC
Entity Type:Organization
Organization Name:HCJ HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-934-7755
Mailing Address - Street 1:1736 ERRINGER RD STE 106A
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-3558
Mailing Address - Country:US
Mailing Address - Phone:818-934-7755
Mailing Address - Fax:818-502-9997
Practice Address - Street 1:1736 ERRINGER RD STE 106A
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3558
Practice Address - Country:US
Practice Address - Phone:818-934-7755
Practice Address - Fax:818-502-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based