Provider Demographics
NPI:1760066583
Name:ADVENT HEALTH HOSPICE CARE INC
Entity Type:Organization
Organization Name:ADVENT HEALTH HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAREKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-290-3186
Mailing Address - Street 1:14664 VICTORY BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1621
Mailing Address - Country:US
Mailing Address - Phone:310-290-3186
Mailing Address - Fax:
Practice Address - Street 1:14664 VICTORY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1621
Practice Address - Country:US
Practice Address - Phone:310-290-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based