Provider Demographics
NPI:1841565397
Name:A & A HOSPICE, INC.
Entity Type:Organization
Organization Name:A & A HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NURITSA
Authorized Official - Middle Name:
Authorized Official - Last Name:POGHOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-989-9299
Mailing Address - Street 1:6320 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2617
Mailing Address - Country:US
Mailing Address - Phone:818-988-9299
Mailing Address - Fax:818-988-9925
Practice Address - Street 1:6320 VAN NUYS BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2617
Practice Address - Country:US
Practice Address - Phone:818-988-9299
Practice Address - Fax:818-988-9925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-16
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based