Provider Demographics
NPI:1245831668
Name:YOUR BESTCARE HOSPICE INC
Entity type:Organization
Organization Name:YOUR BESTCARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KEROBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-641-8343
Mailing Address - Street 1:419 W PALMER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2407
Mailing Address - Country:US
Mailing Address - Phone:818-641-8343
Mailing Address - Fax:
Practice Address - Street 1:419 W PALMER AVE STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2407
Practice Address - Country:US
Practice Address - Phone:818-641-8343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based