Provider Demographics
NPI:1669987913
Name:TENDER LOVING HOSPICE CARE, INC.
Entity type:Organization
Organization Name:TENDER LOVING HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF THE BOARD
Authorized Official - Prefix:
Authorized Official - First Name:HRIPSIME
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-721-1164
Mailing Address - Street 1:3528 W BEVERLY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640
Mailing Address - Country:US
Mailing Address - Phone:323-721-1164
Mailing Address - Fax:323-721-1165
Practice Address - Street 1:3528 W BEVERLY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640
Practice Address - Country:US
Practice Address - Phone:323-721-1164
Practice Address - Fax:323-721-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based