Provider Demographics
NPI:1255799599
Name:BURBANK HOSPICE CARE SERVICES INC
Entity type:Organization
Organization Name:BURBANK HOSPICE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-546-0080
Mailing Address - Street 1:16909 PARTHENIA STREET, SUITE 103
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4557
Mailing Address - Country:US
Mailing Address - Phone:818-546-0080
Mailing Address - Fax:818-546-0090
Practice Address - Street 1:16909 PARTHENIA STREET, SUITE 103
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343
Practice Address - Country:US
Practice Address - Phone:818-546-0080
Practice Address - Fax:818-546-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based