Provider Demographics
NPI:1811582893
Name:SUNLIGHT HOSPICE LLC
Entity Type:Organization
Organization Name:SUNLIGHT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-421-3756
Mailing Address - Street 1:3808 W RIVERSIDE DR STE 307
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4339
Mailing Address - Country:US
Mailing Address - Phone:323-421-3756
Mailing Address - Fax:
Practice Address - Street 1:3808 W RIVERSIDE DR STE 307
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4339
Practice Address - Country:US
Practice Address - Phone:323-421-3756
Practice Address - Fax:323-421-3756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based