Provider Demographics
NPI:1134797541
Name:HOLLYWOOD HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:HOLLYWOOD HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MSRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-401-9949
Mailing Address - Street 1:6438 1/2 BELLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606
Mailing Address - Country:US
Mailing Address - Phone:818-401-9949
Mailing Address - Fax:818-401-9948
Practice Address - Street 1:6438 1/2 BELLINGHAM AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-0000
Practice Address - Country:US
Practice Address - Phone:818-401-9949
Practice Address - Fax:818-401-9948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-12
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based