Provider Demographics
NPI:1902408461
Name:MIRACLE HANDS HOSPICE
Entity Type:Organization
Organization Name:MIRACLE HANDS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:POGOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-593-8131
Mailing Address - Street 1:6440 BELLINGHAM AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1402
Mailing Address - Country:US
Mailing Address - Phone:626-593-8131
Mailing Address - Fax:
Practice Address - Street 1:6440 BELLINGHAM AVE STE 2
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1402
Practice Address - Country:US
Practice Address - Phone:626-593-8131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based