Provider Demographics
NPI:1992388706
Name:AMAR HOSPICE INC.
Entity Type:Organization
Organization Name:AMAR HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MATEVOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-925-2399
Mailing Address - Street 1:1211 W IMPERIAL HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3732
Mailing Address - Country:US
Mailing Address - Phone:818-925-2399
Mailing Address - Fax:818-688-3960
Practice Address - Street 1:1211 W IMPERIAL HWY STE 102
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3732
Practice Address - Country:US
Practice Address - Phone:818-925-2399
Practice Address - Fax:818-688-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based