Provider Demographics
NPI:1245888403
Name:KINDRED HOSPICE INC.
Entity type:Organization
Organization Name:KINDRED HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEVON
Authorized Official - Middle Name:
Authorized Official - Last Name:PATANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-945-4304
Mailing Address - Street 1:12297 OSBORNE ST
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-2001
Mailing Address - Country:US
Mailing Address - Phone:818-945-4304
Mailing Address - Fax:818-600-9270
Practice Address - Street 1:12297 OSBORNE ST
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-2001
Practice Address - Country:US
Practice Address - Phone:818-945-4304
Practice Address - Fax:818-600-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based