Provider Demographics
NPI:1245733328
Name:AMERICAN HERITAGE HOSPICE INC
Entity type:Organization
Organization Name:AMERICAN HERITAGE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKANDARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-306-5200
Mailing Address - Street 1:1837 IRON POINT RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-8781
Mailing Address - Country:US
Mailing Address - Phone:916-306-5200
Mailing Address - Fax:916-542-7261
Practice Address - Street 1:1837 IRON POINT RD STE 180
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:818-636-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based