Provider Demographics
NPI:1922611870
Name:ALL STAR HOSPICE CARE INC
Entity Type:Organization
Organization Name:ALL STAR HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:GYULBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-800-2013
Mailing Address - Street 1:7100 HAYVENHURST AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3849
Mailing Address - Country:US
Mailing Address - Phone:747-998-5631
Mailing Address - Fax:747-998-5643
Practice Address - Street 1:7100 HAYVENHURST AVE STE 320
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3849
Practice Address - Country:US
Practice Address - Phone:747-998-5631
Practice Address - Fax:747-998-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health