Provider Demographics
NPI:1811383813
Name:ESSENTIAL HOSPICE CARE
Entity Type:Organization
Organization Name:ESSENTIAL HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-859-5734
Mailing Address - Street 1:7200 VINELAND AVE UNIT 211
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-5088
Mailing Address - Country:US
Mailing Address - Phone:818-859-5734
Mailing Address - Fax:818-302-1499
Practice Address - Street 1:7200 VINELAND AVE UNIT 211
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-5088
Practice Address - Country:US
Practice Address - Phone:818-859-5734
Practice Address - Fax:818-302-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based