Provider Demographics
NPI:1245852938
Name:CONCIERGE HOSPICE AND PALLIATIVE CARE
Entity type:Organization
Organization Name:CONCIERGE HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-999-5143
Mailing Address - Street 1:2055 TORRANCE BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2642
Mailing Address - Country:US
Mailing Address - Phone:424-999-5143
Mailing Address - Fax:424-369-4373
Practice Address - Street 1:2055 TORRANCE BLVD STE 4
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2642
Practice Address - Country:US
Practice Address - Phone:424-999-5143
Practice Address - Fax:424-369-4373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based