Provider Demographics
NPI:1922673441
Name:EKG HOSPICE CARE
Entity Type:Organization
Organization Name:EKG HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CFO, SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLADA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-653-1493
Mailing Address - Street 1:1111 N BRAND BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3071
Mailing Address - Country:US
Mailing Address - Phone:818-653-1493
Mailing Address - Fax:818-797-2993
Practice Address - Street 1:1111 N BRAND BLVD STE 306
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3071
Practice Address - Country:US
Practice Address - Phone:818-653-1493
Practice Address - Fax:818-797-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based