Provider Demographics
NPI:1013488279
Name:GARDEN OF ANGELS HOSPICE INC.
Entity Type:Organization
Organization Name:GARDEN OF ANGELS HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KNARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-666-3445
Mailing Address - Street 1:13615 VICTORY BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1770
Mailing Address - Country:US
Mailing Address - Phone:818-666-3445
Mailing Address - Fax:818-738-7293
Practice Address - Street 1:13615 VICTORY BLVD STE 111
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1770
Practice Address - Country:US
Practice Address - Phone:818-666-3445
Practice Address - Fax:818-738-7293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based