Provider Demographics
NPI:1881209039
Name:HOSPICE OF LOVE AND CARE GROUP INC
Entity Type:Organization
Organization Name:HOSPICE OF LOVE AND CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANZHELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMEZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-666-2392
Mailing Address - Street 1:18344 OXNARD ST STE 208
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6777
Mailing Address - Country:US
Mailing Address - Phone:818-900-3433
Mailing Address - Fax:
Practice Address - Street 1:18344 OXNARD ST STE 208
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6777
Practice Address - Country:US
Practice Address - Phone:818-900-3433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient