Provider Demographics
NPI:1891307179
Name:EMPYREAN HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:EMPYREAN HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-415-8985
Mailing Address - Street 1:7120 HAYVENHURST AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3813
Mailing Address - Country:US
Mailing Address - Phone:818-415-8985
Mailing Address - Fax:818-387-8306
Practice Address - Street 1:7120 HAYVENHURST AVE STE 404
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3813
Practice Address - Country:US
Practice Address - Phone:818-415-8985
Practice Address - Fax:818-387-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based