Provider Demographics
NPI:1720413339
Name:HIDDEN HILLS HOSPICE AND PALLIATIVE CARE, LLC
Entity Type:Organization
Organization Name:HIDDEN HILLS HOSPICE AND PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VAHE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDEMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-810-9580
Mailing Address - Street 1:16921 PARTHENIA ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4553
Mailing Address - Country:US
Mailing Address - Phone:818-810-9580
Mailing Address - Fax:
Practice Address - Street 1:16921 PARTHENIA ST # 203B
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91343-4553
Practice Address - Country:US
Practice Address - Phone:818-810-9580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5205041Medicaid