Provider Demographics
NPI:1245827823
Name:PRO HOSPICE CARE, INC.
Entity type:Organization
Organization Name:PRO HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERI
Authorized Official - Middle Name:
Authorized Official - Last Name:TELALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-800-0121
Mailing Address - Street 1:324 E FOOTHILL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2550
Mailing Address - Country:US
Mailing Address - Phone:626-800-0121
Mailing Address - Fax:
Practice Address - Street 1:324 E FOOTHILL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2550
Practice Address - Country:US
Practice Address - Phone:626-800-0121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based