Provider Demographics
NPI:1851859359
Name:HOSPITALITY HOSPICE CARE,INC.
Entity Type:Organization
Organization Name:HOSPITALITY HOSPICE CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDISON
Authorized Official - Middle Name:
Authorized Official - Last Name:TER-MKRTCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-285-2951
Mailing Address - Street 1:1420 E LOS ANGELES AVE STE 204A
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-7808
Mailing Address - Country:US
Mailing Address - Phone:805-285-2951
Mailing Address - Fax:805-285-2931
Practice Address - Street 1:1420 E LOS ANGELES AVE STE 204A
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-7808
Practice Address - Country:US
Practice Address - Phone:805-285-2951
Practice Address - Fax:805-285-2931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based