Provider Demographics
NPI:1134691611
Name:CALIFORNIA CARE HOSPICE INC.
Entity type:Organization
Organization Name:CALIFORNIA CARE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAGIK
Authorized Official - Middle Name:
Authorized Official - Last Name:AGEKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-538-5313
Mailing Address - Street 1:4741 LAUREL CANYON BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-5915
Mailing Address - Country:US
Mailing Address - Phone:818-538-5313
Mailing Address - Fax:818-301-1255
Practice Address - Street 1:4741 LAUREL CANYON BLVD STE 208
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-5915
Practice Address - Country:US
Practice Address - Phone:818-538-5313
Practice Address - Fax:818-301-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based