Provider Demographics
NPI:1336735505
Name:DIGNITA HOSPICE, INC.
Entity Type:Organization
Organization Name:DIGNITA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-275-9084
Mailing Address - Street 1:200 N BRADFORD AVE STE H
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5646
Mailing Address - Country:US
Mailing Address - Phone:657-275-9084
Mailing Address - Fax:
Practice Address - Street 1:200 N BRADFORD AVE STE H
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5646
Practice Address - Country:US
Practice Address - Phone:657-275-9084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based