Provider Demographics
NPI:1821732504
Name:NAVITAS HOSPICE CARE INC
Entity Type:Organization
Organization Name:NAVITAS HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-255-4488
Mailing Address - Street 1:740 E WILSON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4490
Mailing Address - Country:US
Mailing Address - Phone:747-255-4488
Mailing Address - Fax:747-255-4493
Practice Address - Street 1:740 E WILSON AVE STE 203
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4490
Practice Address - Country:US
Practice Address - Phone:747-255-4488
Practice Address - Fax:747-255-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based