Provider Demographics
NPI:1851973978
Name:VIGILANCE HOSPICE CARE
Entity Type:Organization
Organization Name:VIGILANCE HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAGOP
Authorized Official - Middle Name:J
Authorized Official - Last Name:INEDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-610-9828
Mailing Address - Street 1:9501 VAN NUYS BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6970
Mailing Address - Country:US
Mailing Address - Phone:800-610-9828
Mailing Address - Fax:
Practice Address - Street 1:9501 VAN NUYS BLVD STE 108
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6970
Practice Address - Country:US
Practice Address - Phone:800-610-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based