Provider Demographics
NPI:1821415100
Name:EVEREST HOSPICE INC
Entity Type:Organization
Organization Name:EVEREST HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELKONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-778-5404
Mailing Address - Street 1:6047 TAMPA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1191
Mailing Address - Country:US
Mailing Address - Phone:888-778-5404
Mailing Address - Fax:818-671-1888
Practice Address - Street 1:6047 TAMPA AVE STE 203
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1191
Practice Address - Country:US
Practice Address - Phone:888-778-5404
Practice Address - Fax:818-671-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based