Provider Demographics
NPI:1821629973
Name:BLUE RIBBON HOSPICE, INC
Entity Type:Organization
Organization Name:BLUE RIBBON HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-4838
Mailing Address - Street 1:187 E WILBUR RD STE 9
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-7931
Mailing Address - Country:US
Mailing Address - Phone:805-601-7711
Mailing Address - Fax:805-601-7712
Practice Address - Street 1:187 E WILBUR RD STE 9
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-7931
Practice Address - Country:US
Practice Address - Phone:805-601-7711
Practice Address - Fax:805-601-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based