Provider Demographics
NPI:1023690724
Name:MARS QUEST INC
Entity type:Organization
Organization Name:MARS QUEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TERAKOPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-473-9696
Mailing Address - Street 1:7020 HAYVENHURST AVE STE K
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3815
Mailing Address - Country:US
Mailing Address - Phone:818-473-9696
Mailing Address - Fax:
Practice Address - Street 1:7020 HAYVENHURST AVE STE K
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3815
Practice Address - Country:US
Practice Address - Phone:818-473-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based