Provider Demographics
NPI:1760890818
Name:WESTLAKE HOSPICE CARE INC
Entity Type:Organization
Organization Name:WESTLAKE HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHAMALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-418-9906
Mailing Address - Street 1:660 HAMPSHIRE RD
Mailing Address - Street 2:214
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2504
Mailing Address - Country:US
Mailing Address - Phone:805-418-9906
Mailing Address - Fax:805-418-9977
Practice Address - Street 1:660 HAMPSHIRE RD
Practice Address - Street 2:214
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2504
Practice Address - Country:US
Practice Address - Phone:805-418-9906
Practice Address - Fax:805-418-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based